Endoscopic and endoscope-assisted neurosurgical treatment of suprasellar arachnoidal cysts (Mickey Mouse cysts)
Suprasellar arachnoid cysts represent less than 10% of all intracranial arachnoid cysts. Some of them may be quiescent throughout life, some may become symptomatic as they become enlarged and some disappear spontaneously. In this study we discuss the surgical strategies for endoscopic and endoscope-...
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Published in | Minimally invasive neurosurgery Vol. 48; no. 5; p. 283 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Germany
01.10.2005
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Abstract | Suprasellar arachnoid cysts represent less than 10% of all intracranial arachnoid cysts. Some of them may be quiescent throughout life, some may become symptomatic as they become enlarged and some disappear spontaneously. In this study we discuss the surgical strategies for endoscopic and endoscope-assisted treatment of suprasellar (Mickey Mouse) cysts and analyze the clinical results and experience collected over some years in our department upon doing these operations routinely. Between December 1996 and December 2003, 13 patients (7 female and 6 male patients), mean age 29 years, underwent endoscopic or endoscope-assisted procedures for suprasellar cysts at our department. The indication for surgical treatment was based on the neurological and radiological examination. The goal of surgical treatment was to normalize the cerebrospinal fluid flow and to establish a communication, permanently, between the cyst cavity and the intraventricular or/and subarachnoid space. Intraoperatively we observed in all patients no complications. Seven of 13 patients, who had received shunt systems in other hospitals before admission in our clinic, remained shunt-free postoperatively. Overall clinical improvement was achieved for a long period of between 6 and 74 months in 11 patients, one developed a psychomotor disturbance and another one, who had epilepsy before treatment, was unchanged postoperatively. Our data suggest that suprasellar cysts are well treated by endoscopic or endoscope-assisted procedures with good clinical outcome and low surgical morbidity. |
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AbstractList | Suprasellar arachnoid cysts represent less than 10% of all intracranial arachnoid cysts. Some of them may be quiescent throughout life, some may become symptomatic as they become enlarged and some disappear spontaneously. In this study we discuss the surgical strategies for endoscopic and endoscope-assisted treatment of suprasellar (Mickey Mouse) cysts and analyze the clinical results and experience collected over some years in our department upon doing these operations routinely. Between December 1996 and December 2003, 13 patients (7 female and 6 male patients), mean age 29 years, underwent endoscopic or endoscope-assisted procedures for suprasellar cysts at our department. The indication for surgical treatment was based on the neurological and radiological examination. The goal of surgical treatment was to normalize the cerebrospinal fluid flow and to establish a communication, permanently, between the cyst cavity and the intraventricular or/and subarachnoid space. Intraoperatively we observed in all patients no complications. Seven of 13 patients, who had received shunt systems in other hospitals before admission in our clinic, remained shunt-free postoperatively. Overall clinical improvement was achieved for a long period of between 6 and 74 months in 11 patients, one developed a psychomotor disturbance and another one, who had epilepsy before treatment, was unchanged postoperatively. Our data suggest that suprasellar cysts are well treated by endoscopic or endoscope-assisted procedures with good clinical outcome and low surgical morbidity. |
Author | Filippi, R Conrad, J Charalampaki, P Welschehold, S |
Author_xml | – sequence: 1 givenname: P surname: Charalampaki fullname: Charalampaki, P email: charal@nc.klinik.uni-mainz.de organization: Department of Neurosurgery, Johannes-Gutenberg University Mainz, Mainz, Germany. charal@nc.klinik.uni-mainz.de – sequence: 2 givenname: R surname: Filippi fullname: Filippi, R – sequence: 3 givenname: S surname: Welschehold fullname: Welschehold, S – sequence: 4 givenname: J surname: Conrad fullname: Conrad, J |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16320190$$D View this record in MEDLINE/PubMed |
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SubjectTerms | Adolescent Adult Arachnoid Cysts - pathology Arachnoid Cysts - surgery Cerebrospinal Fluid - physiology Cerebrospinal Fluid Shunts Child Child, Preschool Humans Magnetic Resonance Imaging Male Middle Aged Minimally Invasive Surgical Procedures - methods Neuroendoscopy - methods Neurosurgical Procedures - methods Postoperative Complications Treatment Outcome |
Title | Endoscopic and endoscope-assisted neurosurgical treatment of suprasellar arachnoidal cysts (Mickey Mouse cysts) |
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