6 research outputs found
Endoscopic management of large multicompartmental intraventricular arachnoid cyst extending from foramen magnum to foramen of Monro
The treatment options for symptomatic arachnoid cysts are shunting,
open craniotomy, and endoscopic fenestration. Endoscopic fenestration
of large arachnoid cyst is safe and effective. Postoperative subdural
hematoma and intraparenchymal hemorrhage can be avoided by endoscopic
fenestration. This technique has the additional advantage of
identifying and treating ventricular abnormalities, such as foramen of
Monro stenosis and cerebral aqueduct occlusion. This report describes
endoscopic dual fenestration in a child with large multicompartmental
intraventricular arachnoid cyst extending from foramen magnum to
foramen of Monro. The child presented with difficulty to hold the neck
in upright position, irritability, vomiting, and large head. Follow-up
postoperative magnetic resonance imaging at 3 months showed a
significant reduction in size of the cyst. Clinically, the patient
showed a gradual improvement at 10 months follow-up. Probably this is
the first report of this nature