Endoscopic treatment of suprasellar arachnoid cysts

Erşahin, Yusuf; Kesikçi, Hande; Rükşen, Mete; Aydın, Cahide; Mutluer, Saffet

doi:10.1007/s00381-008-0615-7

Cited by 57 publications

(34 citation statements)

References 26 publications

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“…Görüntüleme yöntemlerinde girusların silinmesi beynin çeşitli bölgelerinin itilmesi ve buna bağlı şift meydana gelmesi, kraniumda şekil değişikliği görülmesi, intrakranial basınç artım bulguları ve fokal nörolojik defisitin ortaya çıkması ameliyat endikasyonudur. Çocuklarda bası etkisi olmasa bile büyük kist mevcudiyetinde de ameliyat düşünülmelidir 4,5,11,16,19 .…”

Section: Tedaviunclassified

Serebral Araknoid Kistler

Hacıyakupoğlu¹,

Yılmaz²,

Kınalı³

et al. 2015

Arşiv Kaynak Tarama Dergisi

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Arachnoid cysts can occur through inflammatory, traumatic, chemical irritation, skin tumor and postoperative processes. It is diagnosed and differentiated by magnetic resonance imaging and computerized tomography from other lesions. Its differential diagnosis includes colloid cyst , craniopharyngioma, prosencephaly, holoprosencephaly , epidermoid cyst, hydatid cyst, low grade glial tumors, infarcts and subdural hygroma. Most of them are asymptomatic and diagnosed incidentally. Treatment methods such as simple cyst aspiration , total excision of the cyst, basal cysternostomy, ventricular fenestration, cysto or ventriculoperitoneal shunt can be performed by various endoscopic surgery and craniotomy.

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Section: Tedaviunclassified

Serebral Araknoid Kistler

Hacıyakupoğlu¹,

Yılmaz²,

Kınalı³

et al. 2015

Arşiv Kaynak Tarama Dergisi

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“…Endoscopic surgery has become the treatment of choice when feasible because of its minimal invasiveness and good outcomes. [95][96][97][98][99][100][101][102][103][104][105] Assessment of the anatomical relationship between the arachnoid cyst wall and adjacent anatomical structures such as blood vessels, cranial nerves, and brain parenchyma is necessary during preoperative planning to avoid injury to these structures. Complications may include intraoperative bleeding obscuring the surgeon's visual field, postoperative subdural hematomas or hygromas, meningitis, or the injuring of adjacent structures during fenestration.…”

Section: Arachnoid Cystsmentioning

confidence: 99%

Comparison of Intracranial Neuroendoscopic Procedures in Children versus Adults

Girgis

Diaz

Hader

et al. 2015

Can. J. Neurol. Sci.

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Background: The emphasis regarding intracranial neuroendoscopy has been traditionally advocated and focused on the role in pediatric patients, although a significant usage has developed in adult patients. In this study, we examine and contrast the role of predominantly intracranial neuroendoscopy in both a pediatric and adult population with a minimum postprocedure follow-up of 5 years. Methods: A retrospective review was conducted for patients in the two hospitals that manage neurosurgical care for Southern Alberta, Canada, undergoing neuroendoscopic surgery between 1994 and 2008. The pediatric group was defined as age ≤17 years and the adult group as age ≥18 years. Results: A total of 273 patients who underwent a total of 330 procedures with a mean postprocedure follow-up of 12.9 years were identified. There were 161 adult and 112 pediatric patients, and both groups underwent surgery by the same surgeons. The most common procedure was endoscopic third ventriculostomy, accounting for 55% of procedures. One postoperative death occurred in an adult patient. Endoscopic third ventriculostomy success 1-year postprocedure was 81%, with only three late-term failures. Postoperative infection was the most common serious complication (two pediatric/four adult patients). Adult and pediatric patients had similar major complication rates (4.2% vs 5.7%, p = 0.547). Conclusions: Neuroendoscopy overall had a similar role in both pediatric and adult neurosurgical populations, with the most commonly associated complication being infection. Neuroendoscopy is an important therapeutic modality in the management of appropriate adult patients.RÉSUMÉ: Comparaison des interventions neuroendoscopiques intracrâniennes chez les enfants et chez les adultes. Contexte: Traditionnellement, l'emphase a été mise sur la neuroendoscopie intracrânienne chez les enfants et sur son rôle dans cette population de patients. Cependant, de telles interventions sont de plus en plus pratiquées chez des adultes. Nous examinons le rôle de la neuroendoscopie tant chez les enfants que chez les adultes et nous comparons son rôle dans ces deux populations de patients. Méthode: Nous avons procédé à une revue rétrospective des dossiers de patients ayant subi une chirurgie par neuroendoscopie entre 1994 et 2008 dans deux hôpitaux qui offrent des soins neurochirurgicaux dans la partie sud de l'Alberta, au Canada. Les patients du groupe pédiatrique étaient âgés de 17 ans ou moins et ceux du groupe adulte de 18 ans ou plus. Le suivi le plus court après l'intervention était de 5 ans. Résultats: Nous avons identifié 273 patients, dont 161 adultes et 112 enfants, qui ont subi au total 330 interventions, et chez qui un suivi moyen de 12,9 ans était disponible. Les deux groupes de patients ont été opérés par les mêmes chirurgiens. L'intervention la plus fréquemment effectuée était la ventriculostomie au niveau du 3e ventricule, ce qui représentait 5% des interventions. Un patient adulte est décédé en période post-opératoire. La ventriculostomie du 3e ventricule p...

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“…They account for 1 % of all non-traumatic intracranial mass lesions, usually arising within and expanding the margins of CSF cisterns rich in arachnoid [75,76]. Given such a mechanism of pathophysiology, arachnoid cysts may occur anywhere, but most commonly present within the middle cranial fossa [77][78][79].…”

Section: Arachnoid Cystsmentioning

confidence: 99%

“…These endoscopic approaches have been modified by burr hole location and use of stereotaxy to allow for fenestration of quadrigeminal [87,90], suprasellar [75,[91][92][93][94], middle fossa [79], prepontine [95], interhemispheric [96], retroclival [97], and third ventricular arachnoid cysts [94] with satisfactory outcomes.…”

Section: Arachnoid Cystsmentioning

confidence: 99%

“…Charalampaki et al described a group of 13 pediatric patients who underwent neuroendoscopic suprasellar cyst fenestration; seven of these patients who had prior shunts placed remained shunt-free afterwards with no complications noted [100]. Similarly, Ersahin et al suggested endoscopic surgery as first-line treatment for suprasellar cysts after reporting a series of 17 patients, where only three required ventriculoperitoneal shunting following ventriculocystocisternostomy [75]. These studies seem to indicate that neuroendoscopy is a safe approach for the fenestration of suprasellar arachnoid cysts with a high success rate and low likelihood of necessary postprocedural shunting.…”

Section: Arachnoid Cystsmentioning

confidence: 99%

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Ventricular endoscopy in the pediatric population: review of indications

et al. 2014

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Introduction Neuroendoscopy has greatly impacted pediatric neurosurgery over the past few decades. Improved optics and microsurgical tools have allowed neuroendoscopes to be used for a multitude of neurosurgical procedures. Discussion In this review article, we present the breadth of intraventricular neuroendoscopic procedures for the treatment of conditions ranging from hydrocephalus and brain tumors to congenital cysts and other pathologies. We critically discuss treatment indications and reported success rates for neuroendoscopic procedures. We also present novel approaches, technical nuances, and variations from recently published literature and as practiced in the authors' institution.

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Endoscopic treatment of suprasellar arachnoid cysts

Abstract: Endoscopic surgery should be the first choice in the management of SACs. Neuroendoscopic VCC is successful in the majority of the cases.

Cited by 57 publications

References 26 publications

Serebral Araknoid Kistler

Serebral Araknoid Kistler

Comparison of Intracranial Neuroendoscopic Procedures in Children versus Adults

Ventricular endoscopy in the pediatric population: review of indications

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