Endoscopic management of periventricular and intraventricular arachnoid cysts
Abstract Introduction The most successful surgical management of periventricular and intraventricular cysts is still a matter of debate. Up to the early 1990s, open cyst fenestration and cystoperitoneal shunts were the only options available. Recently, different endoscopic approaches to these lesion...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2021-09-01
|
| Series: | Egyptian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41984-021-00115-z |
| _version_ | 1819122437057413120 |
|---|---|
| author | Ahmed Abdel Aziz Fayed Tamer Ibrahim Tarek Rayan |
| author_facet | Ahmed Abdel Aziz Fayed Tamer Ibrahim Tarek Rayan |
| author_sort | Ahmed Abdel Aziz Fayed |
| collection | DOAJ |
| description | Abstract Introduction The most successful surgical management of periventricular and intraventricular cysts is still a matter of debate. Up to the early 1990s, open cyst fenestration and cystoperitoneal shunts were the only options available. Recently, different endoscopic approaches to these lesions have gained popularity. Methods Eighteen endoscopic procedures were performed for the treatment of arachnoid cysts in 18 patients. Sylvian fissure arachnoid cysts were excluded from this study. Ten of them were females and eight were males with their ages ranging from 6 months to 50 years with a mean of 16 years. All patients were prospectively observed. Results Seven of the arachnoid cysts were in the suprasellar region, 5 in the quadrigeminal region, 2 in the posterior fossa, 2 parietal, and 2 intraventricular. Seventeen cases (94%) had hydrocephalus. The main presenting manifestations were those of increased intracranial pressure. All fenestrations were done in the lateral ventricle except for the 2 cases with posterior fossa arachnoid cysts, the fenestrations were done to the fourth ventricle. Endoscopic ventriculocytostomies (VC) were performed in 14 cases without operative complications and no stents were placed. Endoscopic cystocisternostomies (C) were done in all suprasellar cases. Endoscopic cystoventriculostomies (CV) were done in 4 cases. The mean surgical time was 1 h. The mean follow-up period was 15 months. Symptoms improved in 17 cases. Seventeen cases demonstrated a significant decrease of the cysts’ size in the postoperative computed tomography (CT) and magnetic resonance imaging (MRI). A single case developed a complication in the form of subdural hygroma which required no intervention and was managed conservatively. Conclusion Endoscopic management of periventricular and intraventricular arachnoid cysts is a useful safe option in the management of arachnoid cysts related to the ventricular system. |
| first_indexed | 2024-12-22T06:52:26Z |
| format | Article |
| id | doaj.art-b4f358c0886544768141a3745e79fe87 |
| institution | Directory Open Access Journal |
| issn | 2520-8225 |
| language | English |
| last_indexed | 2024-12-22T06:52:26Z |
| publishDate | 2021-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj.art-b4f358c0886544768141a3745e79fe872022-12-21T18:35:06ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252021-09-013611910.1186/s41984-021-00115-zEndoscopic management of periventricular and intraventricular arachnoid cystsAhmed Abdel Aziz Fayed0Tamer Ibrahim1Tarek Rayan2Neurosurgery Department, Faculty of Medicine, Alexandria UniversityNeurosurgery Department, Faculty of Medicine, Alexandria UniversityNeurosurgery Department, Faculty of Medicine, Alexandria UniversityAbstract Introduction The most successful surgical management of periventricular and intraventricular cysts is still a matter of debate. Up to the early 1990s, open cyst fenestration and cystoperitoneal shunts were the only options available. Recently, different endoscopic approaches to these lesions have gained popularity. Methods Eighteen endoscopic procedures were performed for the treatment of arachnoid cysts in 18 patients. Sylvian fissure arachnoid cysts were excluded from this study. Ten of them were females and eight were males with their ages ranging from 6 months to 50 years with a mean of 16 years. All patients were prospectively observed. Results Seven of the arachnoid cysts were in the suprasellar region, 5 in the quadrigeminal region, 2 in the posterior fossa, 2 parietal, and 2 intraventricular. Seventeen cases (94%) had hydrocephalus. The main presenting manifestations were those of increased intracranial pressure. All fenestrations were done in the lateral ventricle except for the 2 cases with posterior fossa arachnoid cysts, the fenestrations were done to the fourth ventricle. Endoscopic ventriculocytostomies (VC) were performed in 14 cases without operative complications and no stents were placed. Endoscopic cystocisternostomies (C) were done in all suprasellar cases. Endoscopic cystoventriculostomies (CV) were done in 4 cases. The mean surgical time was 1 h. The mean follow-up period was 15 months. Symptoms improved in 17 cases. Seventeen cases demonstrated a significant decrease of the cysts’ size in the postoperative computed tomography (CT) and magnetic resonance imaging (MRI). A single case developed a complication in the form of subdural hygroma which required no intervention and was managed conservatively. Conclusion Endoscopic management of periventricular and intraventricular arachnoid cysts is a useful safe option in the management of arachnoid cysts related to the ventricular system.https://doi.org/10.1186/s41984-021-00115-zPeriventricular and intraventricular cystsArachnoid cystsEndoscopic approaches |
| spellingShingle | Ahmed Abdel Aziz Fayed Tamer Ibrahim Tarek Rayan Endoscopic management of periventricular and intraventricular arachnoid cysts Egyptian Journal of Neurosurgery Periventricular and intraventricular cysts Arachnoid cysts Endoscopic approaches |
| title | Endoscopic management of periventricular and intraventricular arachnoid cysts |
| title_full | Endoscopic management of periventricular and intraventricular arachnoid cysts |
| title_fullStr | Endoscopic management of periventricular and intraventricular arachnoid cysts |
| title_full_unstemmed | Endoscopic management of periventricular and intraventricular arachnoid cysts |
| title_short | Endoscopic management of periventricular and intraventricular arachnoid cysts |
| title_sort | endoscopic management of periventricular and intraventricular arachnoid cysts |
| topic | Periventricular and intraventricular cysts Arachnoid cysts Endoscopic approaches |
| url | https://doi.org/10.1186/s41984-021-00115-z |
| work_keys_str_mv | AT ahmedabdelazizfayed endoscopicmanagementofperiventricularandintraventriculararachnoidcysts AT tameribrahim endoscopicmanagementofperiventricularandintraventriculararachnoidcysts AT tarekrayan endoscopicmanagementofperiventricularandintraventriculararachnoidcysts |