Microsurgical Keyhole Approach for Middle Fossa Arachnoid Cyst Fenestration

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Microsurgical Keyhole Approach for Middle Fossa Arachnoid Cyst Fenestration.

OBJECTIVE The optimal surgical treatment for symptomatic temporal arachnoid cysts is controversial. Therapeutic options include cyst shunting, endoscopic fenestration, and craniotomy for fenestration. We reviewed the results for patients who were treated primarily with craniotomy and fenestration at our institution, to provide a baseline for comparisons of the efficacies of other treatment moda...

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Subdural hematoma complicating middle fossa arachnoid cyst.

We report a case of a middle aged patient with middle fossa arachnoid cyst that was complicated by subdural hematoma. This was demonstrated by magnetic resonance imaging that remain the most useful diagnostic tool, and providing excellent tissue specificity. Patient was treated by irrigating the hematoma through burrholes. Magnetic resonance imaging in the postoperative period showed a reductio...

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Pseudomeningocele after Surgical Fenestration of A Posterior Fossa Arachnoid Cyst

We report a 7-year-old boy with a history of headaches, staring spells and speech delay. His neurological examination showed difficulties with tandem gait but no other cerebellar signs. Head CT showed an incidental mass suggestive of large arachnoid cyst of the posterior fossa. Brain MRI showed a cystic lesion at the inferomedial aspect of the left cerebellar hemisphere that follows CSF on all ...

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Supraorbital Keyhole Microsurgical Fenestration of Symptomatic Temporal Arachnoid Cysts in Children: Advantages and Limitations.

AIM To investigate the impact of endoscope-assisted microsurgical fenestration on temporal arachnoid cysts, and to determine the advantages and limitations of the technique. MATERIAL AND METHODS Twenty-five children with symptomatic temporal arachnoid cysts were operated via eyebrow supraorbital keyhole microsurgical fenestration targeting the medial cyst wall. Preoperative magnetic resonance...

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Endoscopic Transsphenoidal Resection of a Medial Temporal Arachnoid Cyst in a Patient with Temporal Lobe Epilepsy

Abstract Introduction: Arachnoid cysts are developmental cystic lesions which may be found as an incidental finding on neuroimaging or present with symptoms of headache, seizure and neurologic deficit. Presentation with seizure is more common with larger sizes and temporal location. Presentation with TLE is rare, and fenestration of cysts had variable results for seizure control. Here in, we r...

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ژورنال

عنوان ژورنال: Neurosurgery

سال: 2005

ISSN: 0148-396X,1524-4040

DOI: 10.1093/neurosurgery/56.5.e1166