Arachnoid cyst surgery: Difference between revisions

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Treatment for arachnoid cysts occurs when symptoms present themselves. A variety of surgical procedures may be used to decompress (remove pressure from) the cyst.
Treatment for arachnoid cysts occurs when symptoms present themselves. A variety of surgical procedures may be used to decompress (remove pressure from) the cyst.
==Surgery==
==Surgery==
*Surgical placement of a [[cerebral shunt]]:<ref>Strojnik T. "Different approaches to surgical treatment of arachnoid cysts", ''Wiener Klinische Wochenschrift.''[http://www.springerlink.com/content/f8j635026q64685h/] 2006;118 Suppl 2:85-8. (PMID 16817052)</ref>
**An '''internal shunt''' drains into the subdural compartment.<ref>Helland CA, Wester K. "Arachnoid cysts in adults: long-term follow-up of patients treated with internal shunts to the subdural compartment", ''Surg Neurol.'' 2006 Jul;66(1):56-61; discussion 61. (PMID 16793443)</ref>
**A '''cystoperitoneal shunt''' drains to the [[peritoneal cavity]].
*[[Fenestration]]:
**[[Craniotomy]] with [[excision]]
**Various [[Endoscope|endoscopic]] techniques are proving effective,<ref>Greenfield JP, Souweidane MM. "Endoscopic management of intracranial cysts", ''Neurosurg Focus.'' 2005 Dec 15;19(6):E7. (PMID 16398484)</ref> including laser-assisted techniques.<ref>Van Beijnum J, Hanlo PW, Han KS, Ludo Van der Pol W, Verdaasdonk RM, Van Nieuwenhuizen O. "Navigated laser-assisted endoscopic fenestration of a suprasellar arachnoid cyst in a 2-year-old child with bobble-head doll syndrome", ''J Neurosurg.'' 2006 May;104(5 Suppl):348-51. (PMID 16848093)</ref>
*Drainage by needle aspiration or [[burr hole]].  While these procedures are relatively simple, there is a high incidence of recurrence.
*Capsular resection
A 1994 study found surgery necessary for good outcome in patients >65 years old when the cysts began displaying symptoms.<ref name="eld2">Caruso R, Salvati M, Cervoni L. "Primary intracranial arachnoid cyst in the elderly", ''Neurosurg Rev.'' 1994;17(3):195-8. (PMID 7838397)</ref>


==References==
==References==

Revision as of 21:37, 26 June 2020

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Overview

Treatment for arachnoid cysts occurs when symptoms present themselves. A variety of surgical procedures may be used to decompress (remove pressure from) the cyst.

Surgery

References

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