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Endoscopic treatment of suprasellar arachnoid cysts indenting third ventricle with obstructive hydrocephalus in children: Thirteen cases
- Source :
- Nigerian Journal of Clinical Practice. 23:1572
- Publication Year :
- 2020
- Publisher :
- Medknow, 2020.
-
Abstract
- Aims: The present study aimed to evaluate the clinical usefulness of endoscopic treatment of suprasellar arachnoid cysts indenting the third ventricle with obstructive hydrocephalus and discuss the clinical features and outcomes of thirteen children treated at our institution. Method: We treated thirteen pediatric cases of suprasellar arachnoid cysts indenting the third ventricle with obstructive hydrocephalus between January 2012 and September 2018. Five female and eight male patients were enrolled in the study. The patients had increased intracranial pressure symptoms due to hydrocephaly. Endoscopic treatment was performed in all cases. Results: The patients were followed-up for an average of 36.8 months. The postoperative intracranial pressure findings improved. There was a reduction in the size of the cyst and ventricles and enlargement of the cortical sulci. One patient suffered transient oculomotor nerve deficit. No further surgical interventions, such as shunt placement, were required during the follow-up period. The head circumference of two of the patients with macrocephaly were stable during the follow-up. There were no postoperative recurrences detected. Conclusions: Endoscopic cyst fenestration and third ventriculostomy are less invasive, safer, and more effective ways to treat suprasellar arachnoid cysts indenting the third ventricle with obstructive hydrocephalus in children with hydrocephaly.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Intracranial Pressure
Obstructive hydrocephalus
Cerebral Ventricles
Ventriculostomy
Arachnoid cyst
medicine
Humans
Cyst
Postoperative Period
Central Nervous System Cysts
Child
Third Ventricle
Intracranial pressure
Third ventricle
Oculomotor nerve
business.industry
Macrocephaly
Infant
Endoscopy
General Medicine
Plastic Surgery Procedures
medicine.disease
Surgery
Hydrocephalus
Arachnoid Cysts
body regions
Treatment Outcome
medicine.anatomical_structure
Child, Preschool
Female
Intracranial Hypertension
Neoplasm Recurrence, Local
medicine.symptom
business
Subjects
Details
- ISSN :
- 11193077
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Nigerian Journal of Clinical Practice
- Accession number :
- edsair.doi.dedup.....fe837eb759c2e7eda38f6cc0a899f09b