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

Copyright © 1999 EDIZIONI MINERVA MEDICA

lingua: Inglese

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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