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Journal of Neurosurgical Sciences 1999 June;43(2):115-23

language: English

Pres­en­ta­tion ­and man­age­ment of supra­ten­to­ri­al ­and infra­ten­to­ri­al arach­noid ­cysts. ­Review of 25 cas­es

Daneyemez M., Gezen F., Akboru MS., Irin S., Ocal E.

Depart­ment of Neu­ro­sur­gery, ­Gülhane Mil­i­tary Med­i­cal Aca­demy ­School of Med­i­cine, ­Etlik-Anka­ra, Tur­key


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Back­ground. To dis­cuss ­the pres­en­ta­tion, diag­no­sis, man­age­ment modal­ities ­and out­comes of ­the arach­noid ­cysts.
Meth­ods. Experi­men­tal ­design: Ret­ro­spec­tive ­study ­with a ­mean fol­low-up peri­od of 31 ­months (rang­ing ­between 9 ­months ­and 5 ­years). Set­ting: Insti­tu­tion­al prac­tice (­The Mil­i­tary Med­i­cal Facul­ty Hos­pi­tal). ­Patients ­and ­the par­tic­i­pants: 25 ­patients ­with arach­noid ­cysts treat­ed sur­gi­cal­ly.
Inter­ven­tion: Fen­es­tra­tion ­and drain­age of ­the ­cyst ­into cis­terns in 13 cas­es, ­cyst-per­i­to­neal shunt­ing in 8 cas­es ­and ­cyst exci­sion in 4 cas­es. Meas­ure: ­The arach­noid ­cysts ­were fol­lowed-up by Com­put­ed Tomog­ra­phy or/­and Mag­net­ic Res­o­nance Imag­ing.
­Results. ­The ­results ­are excel­lent in 21 cas­es, mod­er­ate in 2 cas­es ­and ­poor in 2 cas­es.
Con­clu­sions. Regard­less of ­the pro­ce­dure ­used ­for arach­noid ­cyst treat­ment, ­the out­comes ­are some­what sim­i­lar if ­the sur­gi­cal indi­ca­tions ­and tech­niques ­are prop­er­ly select­ed.

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