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Endoscopic Treatment of Arachnoid Cysts

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Midline Skull Base Surgery

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Abstract

Arachnoid cysts are a congenital malformation, secondary to splitting or duplication of the arachnoid that becomes filled with CSF [1]. They typically arise within the arachnoidal cisterns, in most cases in the middle fossa at the sylvian fissure (30–50 %). Ten percent arise on the hemisphere convexity, 10 % in the suprasellar cistern, 10 % in the quadrigeminal cistern, 10 % in the cerebellopontine angle, and 10 % in the midline of the posterior fossa [1]. Midline cysts (suprasellar, interhemispheric, quadrigeminal, and posterior fossa) are usually associated with hydrocephalus and present earlier in life, usually during the first 10 years.

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References

  1. Abbott R (2004) The endoscopic management of arachnoidal cysts. Neurosurg Clin N Am 15:9–17

    Article  PubMed  Google Scholar 

  2. Artico M, Cervoni L, Salvati M, Fiorenza F, Caruso R (1995) Supratentorial arachnoid cysts: clinical and therapeutic remarks on 46 cases. Acta Neurochir 132:75–78

    Article  CAS  PubMed  Google Scholar 

  3. Galassi E, Gaist G, Giuliani G, Pozzati E (1988) Arachnoid cysts of the middle cranial fossa: experience with 77 cases treated surgically. Acta Neurochir Suppl 42:201–204

    CAS  PubMed  Google Scholar 

  4. Cinalli G (1999) Alternatives to shunt. Childs Nerv Syst 15:718–731

    Article  CAS  PubMed  Google Scholar 

  5. Tirakotai W, Schulte DM, Bauer BL, Bertalanffy H, Hellwig D (2004) Neuroendoscopic surgery of intracranial cysts in adults. Childs Nerv Syst 20:842–851

    Article  PubMed  Google Scholar 

  6. Gaab MR, Schroeder HWS (1998) Neuroendoscopic approach to intraventricular lesions. J Neurosurg 88:496–505

    Article  CAS  PubMed  Google Scholar 

  7. Hopf NJ, Perneczky A (1998) Endoscopic neurosurgery and endoscope-assisted microneurosurgery for the treatment of intracranial cysts. Neurosurgery 43:1330–1337

    CAS  PubMed  Google Scholar 

  8. Decq P, Brugieres P, Le Guerinel C, Djindjian M, Keravel Y, Nguyen JP (1996) Percutaneous endoscopic treatment of suprasellar arachnoid cysts: ventriculocystostomy or ventriculocystocisternostomy? Technical note. J Neurosurg 84:696–701

    Article  CAS  PubMed  Google Scholar 

  9. Caemaert J, Abdullah J, Calliauw L, Carton D, Dhooge C, van Foster R (1992) Endoscopic treatment of suprasellar arachnoid cyst. Acta Neurochir 119:68–73

    Article  CAS  PubMed  Google Scholar 

  10. Choudhri O, Feroze AH, Nathan J, Cheshier S, Guzman R (2014) Ventricular endoscopy in the pediatric population: review of indications. Childs Nerv Syst 30:1625–1643

    Article  PubMed  Google Scholar 

  11. Kirollos RW, Javadpour M, May P, Mallucci C (2001) Endoscopic treatment of suprasellar and third ventricle-related arachnoid cysts. Childs Nerv Syst 17:713–718

    Article  CAS  PubMed  Google Scholar 

  12. Spacca B, Kandasamy J, Mallucci CL, Genitori L (2010) Endoscopic treatment of middle fossa arachnoid cysts: a series of 40 patients treated endoscopically in two centres. Childs Nerv Syst 26:163–172

    Article  PubMed  Google Scholar 

  13. Di Rocco F, R James S, Roujeau T, Puget S, Sainte-Rose C, Zerah M (2010) Limits of endoscopic treatment of sylvian arachnoid cysts in children. Childs Nerv Syst 26:155–162

    Article  PubMed  Google Scholar 

  14. Galassi E, Tognetti F, Gaist G, Fagioli L, Frank F, Frank G (1982) CT scan and metrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: classification and pathophysiological aspects. Surg Neurol 17(5):363–369

    Article  CAS  PubMed  Google Scholar 

  15. Choi JW, Lee JY, Phi JH, Kim SK, Wang KC (2015) Stricter indications are recommended for fenestration surgery in intracranial arachnoid cysts of children. Childs Nerv Syst 31:77–86

    Article  PubMed  Google Scholar 

  16. Cinalli G, Spennato P, Ruggiero C, Aliberti F, Trischitta V, Buonocore MC, Cianciulli E, Maggi G (2007) Complications following endoscopic intracranial procedures in children. Childs Nerv Syst 23(6):633–644

    Article  PubMed  Google Scholar 

  17. Tamburrini G, Caldarelli M, Massimi L, Santini P, Di Rocco C (2003) Subdural hygroma: an unwanted result of Sylvian arachnoid cyst marsupialization. Childs Nerv Syst 19(3):159–165

    CAS  PubMed  Google Scholar 

  18. Levy ML, Wang M, Aryan HE, Yoo K, Meltzer H (2003) Microsurgical keyhole approach for middle fossa arachnoid cyst fenestration. Neurosurgery 53(5):1138–1144

    Article  PubMed  Google Scholar 

  19. Karabagli H, Etus V (2012) Success of pure neuroendoscopic technique in the treatment of Sylvian arachnoid cysts in children. Childs Nerv Syst 28(3):445–452

    Article  PubMed  Google Scholar 

  20. Elhammady MS, Bhatia S, Ragheb J (2007) Endoscopic fenestration of middle fossa arachnoid cysts: a technical description and case series. Pediatr Neurosurg 43(3):209–215

    Article  PubMed  Google Scholar 

  21. Karabatsu K, Hayhurst H, Buxton N, O’Brien DF, Mallucci CL (2007) Endoscopic management of arachnoid cysts: an advancing technique. J Neurosurg 106:455–462

    Article  Google Scholar 

  22. El-Ghandour NM (2012) Endoscopic treatment of middle cranial fossa arachnoid cysts in children. J Neurosurg Pediatr 9:231–238

    Article  PubMed  Google Scholar 

  23. Miyajima M, Arai H, Okuda O, Hishii M, Nakanishi H, Sato K (2000) Possible origin of suprasellar arachnoid cysts: neuroimaging and neurosurgical observations in nine cases. J Neurosurg 93:62–67

    Article  CAS  PubMed  Google Scholar 

  24. Maher CO, Goumnerova L (2011) The effectiveness of ventriculocystocisternostomy for suprasellar arachnoid cysts. J Neurosurg Pediatr 7:64–72

    Article  PubMed  Google Scholar 

  25. Rizk E, Chern JJ, Tagayun C, Tubbs RS, Hankinson T, Rozzelle C, Oakes WJ, Blount JP, Wellons JC (2013) Institutional experience of endoscopic suprasellar arachnoid cyst fenestration. Childs Nerv Syst 29:1345–1347

    Article  PubMed  Google Scholar 

  26. Mori K (1992) Giant interhemispheric cysts associated with agenesis of the corpus callosum. J Neurosurg 76:224–230

    Article  CAS  PubMed  Google Scholar 

  27. Spennato P, Ruggiero C, Aliberti F, Buonocore MC, Trischitta V, Cinalli G (2013) Interhemispheric and quadrigeminal cysts. World Neurosurg 79(2 Suppl):S20.e1–S20.e7

    Google Scholar 

  28. Caldarelli M, Di Rocco C (1996) Surgical options in the treatment of interhemispheric arachnoid cysts. Surg Neurol 46:212–221

    Article  CAS  PubMed  Google Scholar 

  29. Ulu MO, Kafadar AM, Dashti R, Isler C, Uludag˘ S, Erdinçler P (2010) Treatment of symptomatic interhemispheric arachnoid cysts by cystoperitoneal shunting. J Clin Neurosci 17:700–705

    Article  PubMed  Google Scholar 

  30. Cinalli G, Peretta P, Spennato P, Savarese L, Varone A, Vedova P, Grimaldi G, Ragazzi P, Ruggiero C, Cianciulli E, Maggi G (2006) Neuroendoscopic management of interhemispheric cysts in children. J Neurosurg 105(Suppl):194–202

    PubMed  Google Scholar 

  31. Giannetti AV, Fraga SM, Silva MC, Gurgel-Giannetti J (2012) Endoscopic treatment of interhemispheric arachnoid cysts. Pediatr Neurosurg 48:157–162

    Article  PubMed  Google Scholar 

  32. Cinalli G, Spennato P, Columbano L, Ruggiero C, Aliberti F, Trischitta V, Buonocore MC, Cianciulli E (2010) Neuroendoscopic treatment of arachnoid cysts of the quadrigeminal cistern: a series of 14 cases. J Neurosurg Pediatr 6:489–497

    Article  PubMed  Google Scholar 

  33. Ersahin Y, Kesikçi H (2009) Endoscopic management of quadrigeminal arachnoid cysts. Childs Nerv Syst 25:569–576

    Article  PubMed  Google Scholar 

  34. Tamburrini G, Di Rocco C, Caldarelli M, Massimi L (2005) Endoscopic management of supratentorial intra and paraventricular cysts. Childs Nerv Syst 21:500

    Article  Google Scholar 

  35. Choi JU, Kim DS, Huh R (1999) Endoscopic approach to arachnoid cyst. Childs Nerv Syst 15:285–291

    Article  CAS  PubMed  Google Scholar 

  36. Gangemi M, Maiuri F, Colella G, Magro F (2005) Endoscopic treatment of quadrigeminal cistern arachnoid cysts. Minim Invasive Neurosurg 48:289–292

    Article  CAS  PubMed  Google Scholar 

  37. Schroeder HWS, Gaab MR, Niendore WR (1996) Neuroendoscopic approach to arachnoid cysts. J Neurosurg 85:293–298

    Article  CAS  PubMed  Google Scholar 

  38. Garg K, Tandon V, Sharma S, Suri A, Chandra PS, Kumar R, Mahapatra AK, Sharma BS (2015) Quadrigeminal cistern arachnoid cyst: a series of 18 patients and a review of literature. Br J Neurosurg 29(1):1–7

    Google Scholar 

  39. El-Ghandour NM (2013) Endoscopic treatment of quadrigeminal arachnoid cysts in children. J Neurosurg Pediatr 12:521–528

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Pediatric Neurosurgery, Santobono-Pausilipon Children’s Hospital, Naples, Italy

    Giuseppe Cinalli MD, Pietro Spennato MD, Giuliana Di Martino MD & Giuseppe Mirone MD

  2. Pediatric Neuroradiology, Santobono-Pausilipon Children’s Hospital, Naples, Italy

    Daniele Cascone MD

Authors
  1. Giuseppe Cinalli MD
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  2. Pietro Spennato MD
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  3. Giuliana Di Martino MD
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  4. Giuseppe Mirone MD
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  5. Daniele Cascone MD
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Corresponding author

Correspondence to Giuseppe Cinalli MD .

Editor information

Editors and Affiliations

  1. Div. of Neurosurgery Dept. of Neuroscien, University of Naples “Federico II” , Naples, Italy

    Paolo Cappabianca

  2. Div. of Neurosurgery Dept. of Neuroscien, University of Naples “Federico II” , Naples, Italy

    Luigi Maria Cavallo

  3. Div. of Neurosurgery Dept. of Neuroscien, University of Naples “Federico II” , Naples, Italy

    Oreste de Divitiis

  4. Div. of Neurosurgery Dept. of Neuroscien, University of Messina , Messina, Messina, Italy

    Felice Esposito

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© 2016 Springer International Publishing Switzerland

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Cinalli, G., Spennato, P., Di Martino, G., Mirone, G., Cascone, D. (2016). Endoscopic Treatment of Arachnoid Cysts. In: Cappabianca, P., Cavallo, L., de Divitiis, O., Esposito, F. (eds) Midline Skull Base Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-21533-4_16

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  • DOI: https://doi.org/10.1007/978-3-319-21533-4_16

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21532-7

  • Online ISBN: 978-3-319-21533-4

  • eBook Packages: MedicineMedicine (R0)

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