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Treatment option for arachnoid cysts

Authors
 Kyu-Won Shim  ;  Yoon-Ho Lee  ;  Eun-Kyung Park  ;  Young-Seok Park  ;  Joong-Uhn Choi  ;  Dong-Seok Kim 
Citation
 CHILDS NERVOUS SYSTEM, Vol.25(11) : 1459-1466, 2009 
Journal Title
 CHILDS NERVOUS SYSTEM 
ISSN
 0256-7040 
Issue Date
2009
MeSH
Adolescent ; Adult ; Aged ; Arachnoid Cysts/pathology ; Arachnoid Cysts/surgery* ; Arachnoid Cysts/therapy ; Child ; Child, Preschool ; Endoscopy/methods ; Female ; Follow-Up Studies ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Neurosurgical Procedures/adverse effects ; Neurosurgical Procedures/methods ; Postoperative Complications ; Practice Guidelines as Topic ; Safety ; Treatment Outcome ; Young Adult
Keywords
Arachnoid cyst ; Cystoperitoneal shunt ; Endoscopic procedure ; Shunt dependency ; Complication
Abstract
OBJECTIVE: The objective of this study is to establish which treatment is the best operative intervention for arachnoid cyst. MATERIALS AND METHODS: We reviewed a series of 209 cases with arachnoid cysts focusing on the effectiveness and safety. The cysts were treated with several surgical procedures including open surgery for fenestration, endoscopic fenestration, or cystoperitoneal shunting. RESULTS: Follow-up imaging studies showed that 176 out of 209 arachnoid cysts (84.2%) reduced in size during a mean postoperative follow-up period of 6.9 years (range, 1 to 14 years). Although a cystoperitoneal shunt was the best method for early achieving an obliteration of the sylvian cyst (89%), it had the danger of shunt dependency (42%) in addition to four early complications. Although endoscopic fenestration tended to be less effective in reducing the size of a sylvian cyst, it was safe and particularly effective in completely obliterating a suprasellar, quadrigeminal, and prepontine cyst. CONCLUSION: Although the shunt for arachnoid cyst can get the more rapid good radiological outcome, the shunt-related complication and dependency would be hazardous. We suggest that endoscopic or reduced open procedures offer the advantage of avoiding a large craniotomy or the known complications of a cystoperitoneal shunt in treatment of arachnoid cysts. We could get the nearly same surgical outcome without shunt complications with endoscopic or open procedures.
Full Text
http://link.springer.com/article/10.1007%2Fs00381-009-0930-7
DOI
10.1007/s00381-009-0930-7
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Seok(김동석)
Park, Young Seok(박영석)
Park, Eun Kyung(박은경)
Shim, Kyu Won(심규원) ORCID logo https://orcid.org/0000-0002-9441-7354
Lee, Yun Ho(이윤호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105146
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