Arachnoid cyst surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
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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
- Surgical placement of a cerebral shunt:[1]
- An internal shunt drains into the subdural compartment.[2]
- A cystoperitoneal shunt drains to the peritoneal cavity.
- Fenestration:
- Craniotomy with excision
- Various endoscopic techniques are proving effective,[3] including laser-assisted techniques.[4]
- 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.[5]
References
- ↑ Strojnik T. "Different approaches to surgical treatment of arachnoid cysts", Wiener Klinische Wochenschrift.[1] 2006;118 Suppl 2:85-8. (PMID 16817052)
- ↑ 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)
- ↑ Greenfield JP, Souweidane MM. "Endoscopic management of intracranial cysts", Neurosurg Focus. 2005 Dec 15;19(6):E7. (PMID 16398484)
- ↑ 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)
- ↑ Caruso R, Salvati M, Cervoni L. "Primary intracranial arachnoid cyst in the elderly", Neurosurg Rev. 1994;17(3):195-8. (PMID 7838397)