Microsurgical fenestration of retrocerebellar cysts as a treatment for syringomyelia

Apok, Vino; Constantini, Shlomi; Roth, Jonathan

doi:10.1007/s00381-011-1652-1

Cited by 7 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various surgical options exist for the treatment of retrocerebellar arachnoid cyst according to the underlying pathogenic mechanism, including cyst fenestration, cyst-peritoneal shunting, and foramen magnum decompression with complete or partial excision 1 4 15) . Removal of the underlying pathology and stablishing the normal CSF flow at the foramen magnum is the main stay of treatment for syringomyelia 9) .…”

Section: Discussionmentioning

confidence: 99%

“…The clinical features of syringomyelia are highly variable, usually with an insidious onset, a course that lasts for many years, and an unpredictable pace of progression 19) . Multiple treatment options for retrocerebellar arachnoid cysts have been introduced including cyst fenestration, cyst-peritoneal shunting, and foramen magnum decompression with complete or partial excision 1 4 15) . We describe the case of a patient with a huge retrocerebellar cyst associated with CSF flow impairment in the foramen magnum and the resulting in syringomyelia.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Syringomyelia Associated with a Huge Retrocerebellar Arachnoid Cyst: A Case Report

et al. 2015

View full text Add to dashboard Cite

Occasionally, a posterior fossa arachnoid cyst can induce compression of the spinal cord and cause syringomyelia. Here, we report the case of a 29-year-old man with both progressive shoulder pain and gait disturbance, who was found to have a huge retrocerebellar arachnoid cyst associated with syringomyelia. Accordingly, posterior fossa decompression and arachnoid cyst excision were performed. Post-operative MRI showed a marked reduction in the size of the arachnoid cyst and syringomyelia. The patient's symptoms were clearly improved compared to before surgery. In our view, treatment in such patients should focus on decompressing the foramen magnum and include the removal of the coexistent arachnoid cyst walls, which appear to be the crucial factor in development of syringomyelia. In this report, we discuss the pathogenic mechanisms underlying syringomyelia-associated retrocerebellar arachnoid cyst and review the current literature on this topic.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Syringomyelia Associated with a Huge Retrocerebellar Arachnoid Cyst: A Case Report

et al. 2015

View full text Add to dashboard Cite

show abstract

“…2,3) Although the pathophysiology and optimal treatment for hydrocephalus with BPC remains controversial, shunt placement, endoscopic third ventriculostomy (ETV), and fenestration of the cyst have been previously reported. 2,[4][5][6][7][8][9] ETV has been reported to be effective in pediatric patients with BPCassociated hydrocephalus in recent years. 4,6,10) In line with the current trend of using minimally invasive procedures in neurosurgery, ETV is considered a good alternative for hydrocephalus with BPC.…”

Section: Introductionmentioning

confidence: 99%

Progressive Hydrocephalus after Endoscopic Third Ventriculostomy in Pediatric Patients with Blake’s Pouch Cyst

Takeuchi

Kimiwada

Shirane

et al. 2020

NMC Case Report Journal

View full text Add to dashboard Cite

The pathophysiology and optimal treatment for hydrocephalus with Blake’s pouch cyst (BPC) remain controversial. The authors present two pediatric cases of hydrocephalus associated with BPC, in which the patients’ hydrocephalus progressed after endoscopic third ventriculostomy (ETV), despite a patent stoma of the third ventricular floor. Case 1: A 4-year-old girl with delayed gait development was diagnosed with BPC-associated hydrocephalus and received ETV. Postoperatively, the patient presented headaches and nausea. Computed tomography (CT) scans demonstrated larger ventricles than those observed on the preoperative images. Because phase-contrast cine magnetic resonance imaging (MRI) and constructive interference in steady state (CISS) MRI revealed patent cerebrospinal fluid (CSF) flow at the third ventricular floor level, a ventriculoperitoneal shunt (VPS) was placed using a programmable pressure valve to treat the hydrocephalus. Case 2: A 6-year-old girl with newly developed repeated convulsive seizures was diagnosed with BPC-associated hydrocephalus and received ETV. Phase-contrast cine MRI on the 5th postoperative day showed hyperdynamic CSF flow at the third ventricular floor level. She also developed vomiting and headache 6 weeks after ETV. CT scans demonstrated much larger tetraventricular hydrocephalus than that observed on the preoperative images. VPS placement improved her hydrocephalus. Referencing the previous literature, we discuss the CSF dynamics and the mechanism of BPC-associated hydrocephalus, focusing on the third ventricular floor bulging. We hope our experience will help elucidate the pathophysiology and treatment strategies for BPC-associated hydrocephalus.

show abstract

Chiari Type 1 Malformation and Syringomyelia in Children: Classification and Treatment Options

Soleman,

Roth,

Constantini

2023

Advances and Technical Standards in Neurosurgery

View full text Add to dashboard Cite

Microsurgical fenestration of retrocerebellar cysts as a treatment for syringomyelia

Cited by 7 publications

References 26 publications

Syringomyelia Associated with a Huge Retrocerebellar Arachnoid Cyst: A Case Report

Syringomyelia Associated with a Huge Retrocerebellar Arachnoid Cyst: A Case Report

Progressive Hydrocephalus after Endoscopic Third Ventriculostomy in Pediatric Patients with Blake’s Pouch Cyst

Chiari Type 1 Malformation and Syringomyelia in Children: Classification and Treatment Options

Contact Info

Product

Resources

About