A Novel Bilateral Approach for Suprasellar Arachnoid Cysts: A Case Report.

Abstract:

:The endoscopic method is used to treat suprasellar arachnoid cysts (SACs) but it is sometimes difficult to make sufficiently sized fenestrations. Creating a larger fenestration on the cyst wall is preferable to prevent closure of the stoma. In this paper, we report a novel endoscopic approach for SAC treatment in which we use bilateral burr holes to achieve a more extensive cyst fenestration. A 7-year-old girl was referred to our hospital because of incidentally detected hydrocephalus by computed tomography scans. Physical examination did not show any signs of intracranial hypertension, but a digital impression of her skull on X-ray implied chronic intracranial hypertension. Magnetic resonance imaging (MRI) revealed enlargement of both lateral ventricles and a cystic mass occupying the third ventricle. We performed cyst wall fenestration using a bilateral approach in which we created two burr holes to introduce a flexible endoscope and a rigid endoscope. The cyst wall was held by forceps with the flexible endoscope, and resection of the cyst wall was achieved by using a pair of scissors with the rigid endoscope. There were no postoperative complications, and MRI performed 1 year after treatment showed disappearance of the superior part of the cyst wall.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Fujio S,Bunyamin J,Hirano H,Oyoshi T,Sadamura Y,Bohara M,Arita K

doi

10.1159/000440811

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

30-4

issue

1

eissn

1016-2291

issn

1423-0305

pii

000440811

journal_volume

51

pub_type

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