Endoscopic Suprasellar Arachnoid Cysts Fenestration Series of 22 Cases and Literature Review
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction:Suprasellar arachnoid cysts are benign developmental collections of CSF and constitute approximately 9% of all pediatric intracranial arachnoid cysts. Objectif:The aim of this study is to demonstrate the feasibility and interest of the endoscopy in the treatment of suprasellar arachnoid cysts. Materials and methods:We report our experience with endoscopic management in 22 patients with suprasellar arachnoid cyst treated with endoscopic fenestration during the period ranged from 2009 to 2018 in our institution. Results:The average age of the patients at the time of presentation was 24 months. There was a male predominance. Clinical manifestations include macrocephaly (100%), visual problems (41%) and rarely Bobble-head doll syndrome (9%). Preoperative CTand MRI scans were performed in all cases.All the patients were treated by endoscopic fenestration of the cysts. No intraoperative complications were encountered, no mortality occurred.Postoperative CSF leak without meningitis occurred in three cases (14%), treated by lumber puncture, with good outcomes.Patients with macrocephaly, visual disturbancesand head bobbling improved after surgery. Conclusion:Endoscopic management of suprasellar arachnoid cysts is a safe and effective modality. Our results compare favorably to a previously reported case series.
Authors and Affiliations
Bouaita . K, Benmamar . T
Keywords
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- EP ID EP572631
- DOI 10.9790/0853-1804075053.
- Views 74
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