Different approaches to surgical treatment of arachnoid cysts.
ABSTRACT Although most arachnoid cysts remain static fluid-filled compartments throughout life, some become enlarged, exerting a mass effect on adjacent neural structures. The decision-making process for patients with arachnoid cysts still represents a challenge for the neurosurgeon. We report three cases of intracranial arachnoid cysts treated with different surgical approaches: (i) endoscopic fenestration of the cyst into the lateral ventricle; (ii) a cystoperitoneal shunt; (iii) a cystoperitoneal shunt and establishment of communication between the cyst and the fourth ventricle with the help of an endoscope. Given the advances in instrumentation over the past decade, it is probable that most arachnoid cysts will be managed endoscopically in the future.
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ABSTRACT: We describe an 81-year old female patient who was seen at our outpatient clinic with a history of falls. The clinical diagnosis was concurrent with depressive symptoms, but an arachnoid cyst turned out to be the cause of her problems. The patient recovered completely after surgery.International Psychogeriatrics 05/2010; 22(5):832-3. · 1.89 Impact Factor