Endoscopic treatment of middle fossa arachnoid cysts.

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Endoscopic treatment of middle fossa arachnoid cysts.

Acta Neurochir (Wien). 2017 Dec;159(12):2313-2317

Authors: Azab WA, Almanabri M, Yosef W

Abstract
BACKGROUND: Endoscopic treatment of middle fossa arachnoid cysts is an alternative option to microsurgical fenestration and shunting procedures. The procedure is minimally invasive and obviates the morbidity of craniotomy and shunting.
METHODS: Operative charts and videos of patients undergoing endoscopic fenestration of middle fossa arachnoid cysts were retrieved from the senior author's database of endoscopic procedures and reviewed. Description of the surgical techniques was then formulated.
CONCLUSIONS: Endoscopic fenestration of middle fossa arachnoid cysts entails communicating the cyst cavity to the basal cisterns via multiple fenestrations that should be made as large as possible with care to avoid injury of the juxtaposed neurovascular structures.

PMID: 28905234 [PubMed - indexed for MEDLINE]

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