Endoscopic surgery for large posterior fossa arachnoid cysts

被引:31
作者
Gangemi, M [1 ]
Maiuri, F [1 ]
Colella, G [1 ]
Sardo, L [1 ]
机构
[1] Univ Naples Federico II, Sch Med, Dept Neurosurg, I-80131 Naples, Italy
关键词
arachnoid cyst; posterior fossa cyst; endoscopy;
D O I
10.1055/s-2001-13588
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors report two cases of large arachnoid cysts of the posterior fossa treated by endoscopic surgery. One patient underwent a successful endoscopic cyst fenestration by burr hole approach after several procedures of shunt revision. In another an endoscope-assisted microsurgical intervention was necessary. Lateral (cerebellar or cerebellopontine angle) cysts, as two reported cases, may be treated through a lateral retromastoid approach by fenestration into the prepontine cistern and eventually into the cisterna magna. We advise to start the operation through a burr hole and to try to realize the fenestration by endoscopy only. If this attempt fails, an endoscope-assisted microsurgical technique may be performed by enlarging the craniectomy. In this last instance the endoscope is useful particularly deeply to fenestrate the anterior cyst wall in the prepontine or ambient cisterns, where it provides more illumination and helps to identify the nervous and vascular structures.
引用
收藏
页码:21 / 24
页数:4
相关论文
共 23 条
  • [1] BELLONI G, 1978, ACTA NEUROCHIR, V44, P258
  • [2] Endoscopic approach to arachnoid cyst
    Choi, JU
    Kim, DS
    Huh, R
    [J]. CHILDS NERVOUS SYSTEM, 1999, 15 (6-7) : 285 - 291
  • [3] INTRACRANIAL ARACHNOID CYSTS IN CHILDREN - A COMPARISON OF THE EFFECTS OF FENESTRATION AND SHUNTING
    CIRICILLO, SF
    COGEN, PH
    HARSH, GR
    EDWARDS, MSB
    [J]. JOURNAL OF NEUROSURGERY, 1991, 74 (02) : 230 - 235
  • [4] COLANGELO M, 1978, ACTA NEUROCHIR, V44, P258
  • [5] Di Rocco C, 1993, INTRACRANIAL CYST LE, P129
  • [6] DIROCCO C, 1993, INTRACRANIAL CYST LE, P101
  • [7] Posterior fossa arachnoid cysts
    Erdinçler, P
    Kaynar, MY
    Bozkus, H
    Çiplak, N
    [J]. BRITISH JOURNAL OF NEUROSURGERY, 1999, 13 (01) : 10 - 17
  • [8] Surgical treatment of 95 children with 102 intracranial arachnoid cysts
    Fewel, ME
    Levy, ML
    McComb, JG
    [J]. PEDIATRIC NEUROSURGERY, 1996, 25 (04) : 165 - 173
  • [9] GAAB MR, 1998, ENDOSCOPY CENTRAL PE, P137
  • [10] INFRATENTORIAL ARACHNOID CYSTS
    GALASSI, E
    TOGNETTI, F
    FRANK, F
    FAGIOLI, L
    TERESA, M
    GAIST, G
    [J]. JOURNAL OF NEUROSURGERY, 1985, 63 (02) : 210 - 217