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
Related Articles
- EP ID EP572631
- DOI 10.9790/0853-1804075053.
- Views 38
- Downloads 0
A Prospective Randomized Study of Effect of Magnesium Sulfate In Attenuating Artirial Blood Pressure In Elective Laparoscopic Abdominal Surgeries
INTRODUCTION: Magnesium is well known to inhibit catecholamine release and attenuate vasopressinstimulated vasoconstriction. We investigated whether i.v. magnesium sulphate attenuates the haemodynamic stress responses to...
Venous Leg Ulcer - Management Experience In A Tertiary Healthcare Center In Eastern India
Introduction: venous ulcer is most common type of chronic leg ulcer. In this study we have tried to summarize the experience of venous ulcer treatment in RIMS,Ranchi; a tertiary healthcare center in eastern India. Materi...
A Study of the Success of Trial of Labour with Previous Caesarean Section in a Tertiary Care Hospital
Lower Segment Cesarean section is now the most common surgical procedure performed in many developed and developing nations.1 Factors contributing to increased cesarean rate seen today are multiple.1 Higher cesarean rate...
Comparative Evaluation of antimicrobial efficacy of MTA mixed with different concentrations of chlorhexidine and TAP against E Faecalis.
MTA, a hydraulic cement that sets in the presence of water, is used as a root-end filling material but its antibacterial property is not ideal against E. faecalis which are mainly found in retreatment cases. The aimof th...
Langerhans Cell Histiocytosis: Rare Disease Treated With Chemotherapy and Radiotherapy
Langerhans Cell Histiocytosisrepresents a rare benign disorder previously designated as Histiocytosis X Varity” Type II Histiocytosis or Langerhans cell Granulomatosis, it occurs when the body accumulates too many immatu...