Treatment strategy of intracranial arachnoid cysts
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1001-2346.2011.03.002
- Key Word:
- 蛛网膜囊肿;内镜;治疗;观察;Intracranial arachnoid cyst;Endoscopes;Therapy;Observation
Abstract： Objective To investigate treatment strategy of intracranial arachnoid cysts. Method 47 cases of Intracranial arachnoid cysts from Sep 1,2010 to Des 1,2010 were analyzed. 25 cases received no intervention but follow. 22 cases received operation, 13 of 22 cases neuroendoscopic partial cystectomy and communication between cystic cavity and brain cistern; 7 of 22 cases cysts - peritoneal shunt, 2 of 22 cases cranioectomy for cystectomy. Results All the cases of no intervention group showed no neuron - imaging change,in endoscopic treatment group,cyst disappearance occurred to 1 case, 12 cases reduced over 50%. In cyst -peritoneal shunt group,cyst disappearance occurred to 1 case,5 cases reduced over 50%. In microscopic cystectomy group, cyst disappearance occurred to 1 case. But no change to 1 case. Conclusions Most of intracranial arachnoid cysts should be given intervention but followed, neuroendoscopy is a safe and effective method with minima invasion in the treatment of intracranial arachnoid cyst. It should be first choice.
- [1]包长顺,夏佐中.小儿颅内蛛网膜囊肿的外科处理[J].2003,(4).
- [2]何伋,何任,刘运振,等.显微手术治疗颅内蛛网膜囊肿[J].2003,(1).
- [3]张玉琪,马振宇.囊肿-腹腔分流术治疗儿童颅内蛛网膜囊肿[J].2000,(4).
- [4]潘蔚然,徐书刚,董欣明,等.儿童颅内蛛网膜囊肿的外科治疗探讨[J].2008,(6).
- [5]万伟庆,侯颖智,姜涛,等.囊肿-腹腔分流术治疗儿童颅内蛛网膜囊肿358例[J].2009,(12).
- [6]姚红新,赵继宗.颅内蛛网膜囊肿-腹腔分流术少见并发症二例报告[J].2003,(1).
- [7]孔文龙,彭玉平,漆松涛.颅内蛛网膜囊肿研究进展[J].2010,(4).
- [8]Mikolajczyk W,Szymanski W,Krawczyk J,etc.Neuroendoscopic techniques in the treatment of arachnoid cysts in children and comparison with other operative methods.[J].2006,22(6).
- [9]El-Ouahabi A,Arkha Y,El-Khamlichi A,etc.Management of intracranial arachnoid cysts: Institutional experience with initial 32 cases and review of the literature.[J].2008,110(1).
- [10]Cincu R,Eiras J,Agrawal A.Intracranial arachnoid cysts: Current concepts and treatment alternatives.[J].2007,109(10).
- [11]Nagashima T,Marin-Sanabria EA,Yamamoto H,etc.Evaluation of the management of arachnoid cyst of the posterior fossa in pediatric population: experience over 27 years.[J].2007,23(5).
- [12]Hayhurst C,Mallucci CL,Karabatsou K,etc.Endoscopic management of arachnoid cysts: an advancing technique.[J].2007,106(6 Suppl.).
- [13]Tamburrini G,Del-Fabbro M,Di-Rocco C.Sylvian fissure arachnoid cysts: a survey on their diagnostic workout and practical management.[J].2008,24(5).
- [14]Wester K,Helland CA.Arachnoid cysts in adults: long-term follow-up of patients treated with internal shunts to the subdural compartment.[J].2006,66(1).