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Endoscopic Treatment of Arachnoid Cysts
by
Gaab, Michael R.
, Mondorf, Yvonne
, Oertel, Joachim M.K.
, Wagner, Wolfgang
, Schroeder, Henry W.S.
, Baldauf, Joerg
in
Adolescent
/ Adult
/ Aged
/ Arachnoid Cysts - diagnostic imaging
/ Arachnoid Cysts - pathology
/ Arachnoid Cysts - surgery
/ Biological and medical sciences
/ Brain diseases
/ Child
/ Child, Preschool
/ Cysts
/ Endoscopy
/ Endoscopy - instrumentation
/ Endoscopy - methods
/ Female
/ Humans
/ Infant
/ Lateral Ventricles - diagnostic imaging
/ Lateral Ventricles - pathology
/ Lateral Ventricles - surgery
/ Male
/ Medical sciences
/ Middle Aged
/ Neurosurgery
/ Neurosurgical Procedures - instrumentation
/ Neurosurgical Procedures - methods
/ Postoperative Complications - etiology
/ Postoperative Complications - prevention & control
/ Radiography
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
/ Surgical outcomes
/ Treatment Outcome
/ Young Adult
2010
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Endoscopic Treatment of Arachnoid Cysts
by
Gaab, Michael R.
, Mondorf, Yvonne
, Oertel, Joachim M.K.
, Wagner, Wolfgang
, Schroeder, Henry W.S.
, Baldauf, Joerg
in
Adolescent
/ Adult
/ Aged
/ Arachnoid Cysts - diagnostic imaging
/ Arachnoid Cysts - pathology
/ Arachnoid Cysts - surgery
/ Biological and medical sciences
/ Brain diseases
/ Child
/ Child, Preschool
/ Cysts
/ Endoscopy
/ Endoscopy - instrumentation
/ Endoscopy - methods
/ Female
/ Humans
/ Infant
/ Lateral Ventricles - diagnostic imaging
/ Lateral Ventricles - pathology
/ Lateral Ventricles - surgery
/ Male
/ Medical sciences
/ Middle Aged
/ Neurosurgery
/ Neurosurgical Procedures - instrumentation
/ Neurosurgical Procedures - methods
/ Postoperative Complications - etiology
/ Postoperative Complications - prevention & control
/ Radiography
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
/ Surgical outcomes
/ Treatment Outcome
/ Young Adult
2010
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Endoscopic Treatment of Arachnoid Cysts
by
Gaab, Michael R.
, Mondorf, Yvonne
, Oertel, Joachim M.K.
, Wagner, Wolfgang
, Schroeder, Henry W.S.
, Baldauf, Joerg
in
Adolescent
/ Adult
/ Aged
/ Arachnoid Cysts - diagnostic imaging
/ Arachnoid Cysts - pathology
/ Arachnoid Cysts - surgery
/ Biological and medical sciences
/ Brain diseases
/ Child
/ Child, Preschool
/ Cysts
/ Endoscopy
/ Endoscopy - instrumentation
/ Endoscopy - methods
/ Female
/ Humans
/ Infant
/ Lateral Ventricles - diagnostic imaging
/ Lateral Ventricles - pathology
/ Lateral Ventricles - surgery
/ Male
/ Medical sciences
/ Middle Aged
/ Neurosurgery
/ Neurosurgical Procedures - instrumentation
/ Neurosurgical Procedures - methods
/ Postoperative Complications - etiology
/ Postoperative Complications - prevention & control
/ Radiography
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
/ Surgical outcomes
/ Treatment Outcome
/ Young Adult
2010
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Journal Article
Endoscopic Treatment of Arachnoid Cysts
2010
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Overview
Surgical treatment of arachnoid cysts remains under debate. Although many authors favor endoscopic techniques, others attribute a higher recurrence rate to the endoscope.
The authors report their experience with endoscopic procedures for arachnoid cyst.
All pure endoscopic procedures for arachnoid cysts performed by the authors were analyzed. Particular reference was given to surgical complications and patient outcome in relation to cyst location and endoscopic technique.
Sixty-six endoscopic procedures were performed in 61 patients (mean age, 28 years; range, 23 days to 74 years; 35 males, 26 females). The main presenting symptoms were cephalgia (61%), hemisymptoms (18%), and macrocephalus (18%). Cyst location was temporobasal (34%), suprasellar (21%), at the cisterna quadrigemina (18%), paraxial supratentorial (16%), and various (10%). Thirty cystocisternostomies, 14 ventriculocystostomies, 12 cystoventriculostomies, and 10 ventriculocystocisternostomies were performed. The overall clinical success rate was 90%. The endoscopic technique was abandoned in 4 cases (7%). Postoperative complications were found in 16%; there was only one permanent deficit (2%). Five recurrences (8%) occurred up to 7 years after the first procedure. Of the various locations, the temporobasal cysts were the most difficult to treat with lowest clinical success (81%), highest recurrence (19%), and highest complication rate (24%). Of the various endoscopic techniques, ventriculocystostomy and ventriculocystocisternostomy reached the highest success rates with 100%.
Endoscopic techniques provide very good results in arachnoid cyst treatment. The most frequent cyst location is the most difficult to treat. A long-term follow-up is recommended since recurrences can occur many years after the procedure.
Publisher
Lippincott Williams & Wilkins,Wolters Kluwer Health, Inc
Subject
/ Adult
/ Aged
/ Arachnoid Cysts - diagnostic imaging
/ Biological and medical sciences
/ Child
/ Cysts
/ Female
/ Humans
/ Infant
/ Lateral Ventricles - diagnostic imaging
/ Lateral Ventricles - pathology
/ Lateral Ventricles - surgery
/ Male
/ Neurosurgical Procedures - instrumentation
/ Neurosurgical Procedures - methods
/ Postoperative Complications - etiology
/ Postoperative Complications - prevention & control
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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