Neuroendoscopic approach to quadrigeminal cistern arachnoid cysts/Kuadrigeminal sisterna araknoid kistlerine noroendoskopik yaklasim

• Published in: The Eurasian journal of medicine 2012-04, Vol.44 (1), p.18
• Main Authors: Sengul, Goksin, Tuzun, Yusuf, Cakir, Murteza, Duman, Sencer, Colak, Abdullah, Kadioglu, Hakan Hadi, Aydin, Ismail Hakki
• Format: Article
• Language: English
• Subjects: Arachnoid cysts; Care and treatment; Cysts; Diagnosis; Health aspects; Medical imaging; Neuroendoscopy; Surgery; Teenagers; Ventriculostomy
• ISSN: 1308-8734; 1308-8742
• DOI: 10.5152/eajm.2012.04

Objective: The introduction of neuroendoscopy has provided a minimally invasive modality for the surgical treatment of quadrigeminal arachnoid cysts. Three pediatric patients with arachnoid cyst of the quadrigeminal cistern treated by endoscopic fenestration are reported. Materials and Methods: The hospital records of patients were retrospectively rewieved. All patients had hydrocephalus. A lateral ventricle-cystostomy and endoscopic third ventriculostomy were performed by using rigid neuroendoscopes. Results: There were one boy and two girls with ages 7 months, 9 months and 14 years, respectively. One patient had undergone shunting prior to neuroendoscopic surgery. The postoperative course was uneventful in all cases, with no complications. They showed disappearance of intracranial hypertension symptoms and significant reduction of the cyst size. Conclusion: Neuroendoscopic technique is an effective and suitable method for the treatment of quadrigeminal cistern arachnoid cysts and accompanying hydrocephalus. Key Words: Arachnoid cyst, Neuroendoscopy, Quadrigeminal cistern Amac: Kuadrigeminal araknoid kistlerin cerrahi tedavisinde noroendoskopi uygulanmasi daha az invaziv bir girisim imkani saglamaktadir. Bu yazida endoskopik agizlastirma yontemiyle tedavi edilen kuadrigeminal araknoid kisti olan uc cocuk olgu sunulmaktadir. Gerec ve Yontem: Uc hastanin tibbi kayitlari retrospektif olarak degerlendirildi. Hastalarin hepsinin hidrosefalisi vardi. Rijit endoskop kullanilarak tum hastalarda kist lateral ventrikul ile agizlastirildi ve ucuncu ventrikulostomi yapildi. Bulgular: Hastalarin biri erkek, ikisi kiz ve sirasiyla 7 aylik, 9 aylik ve 14 yasindaydilar. Bir hastaya noroendoskopik girisim uygulanmadan once ventrikuloperitoneal sant takilmisti. Postoperatif hastalarin hepsi komplikasyonsuz iyilesti. Artmis kafa ici basinci bulgulari duzeldi ve kist boyutu belirgin azaldi. Sonuc: Noroendoskopi teknigi kuadrigeminal araknoid kist ve beraberindeki hidrosefalinin tedavisi icin uygun ve etkili bir yontemdir. Anahtar Kelimeler: Araknoid kist, Noroendoskopi, Kuadrigeminal sisterna