Endoscopy of Intracranial Cysts in the Adult Patient

Abstract

In this study we report about our experience in surgical therapy of patients with intracranial supratentorial cysts. The main interest herein lies in the difference between conventional surgery and the endoscopic approach. Since 1997 in the Unfallkrankenhaus Berlin 4 male and 4 female patients with intracranial cysts aged between 21 and 66 have been treated surgically. The intracranial endoscopy was performed in 6 patients. The initially complained, mostly unspecific, symptoms diminished post operatively and in the follow-up. As complications a transient hemiparesis and an aseptic bone necrosis have to be mentioned, the latter after use of conventional surgery. In clear diagnostic cases an operation of intracranial cysts seems appropriate. Both surgical methods, open and endoscopic approach, are appropriate. To avoid complications due to greater surgical wounds the endoscopic method should be preferred.

Endoscopy - Intracranial cysts - Outcome - Operation

References

• 1 Jallo G I, Woo H H, Meshki B A, Epstein F J, Wisoff J H. Arachnoid cysts of the cerebellopontine angle: Diagnosis and surgery.  Neurosurgery. 1997;  40 31-38
• 2 Lancon J A, Haines D E, Lewis A I, Parent A D. Endoscopic treatment of symptomatic septum pellucidum cysts: With some preliminary observations on the ultrastructure of the cyst wall.  Neurosurgery. 1999;  45 1251-1257
• 3 Lange M, Oeckler R, Beck O J. Surgical treatment of patients with midline arachnoid cysts.  Neurosurg Rev. 1990;  13 35-39
• 4 Pelletier J, Milandre L, Péragut J C, Cronqvist S. Intraventricular choroid plexus “arachnoid” cyst. MRI findings.  Neuroradiology. 1990;  32 523-525
• 5 Pierre-Kahn A, Capelle L, Brauner R, Sainte-Rose C, Renier D, Pappaport R, Hirsch J F. Presentation and management of suprasellar arachnoid cysts.  J Neurosurg. 1990;  73 355-359
• 6 Punzo A, Conforti R, Martiniello D, Scuotto A, Bernini F P, Cioffi F A. Surgical indications for intracranial arachnoid cysts.  Neurochirurgie. 1992;  35 35-42
• 7 Schroeder H WS, Gaab M R. Endoscopic management of intracranial arachnoid cysts. In: Minimally Invasive Techniques for Neurosurgery 1998: 101-105
• 8 Wester K, Pedersen P H. Benign intracerebral cysts treated with internal shunts: Review and report of two cases.  Neurosurgery. 1992;  30 432-436
• 9 Wester K. Arachnoid cysts in adults: Experience with internal shunts to the subdural compartment.  Surg Neurol. 1996;  45 15-24
• 10 Von Wild K. Arachnoid cysts of the middle cranial fossa.  Neurochirurgie. 1992;  35 177-182
• 11 Yamakawa H, Ohkuma A, Hattori T, Niikawa S, Kbayashi H. Primary intracranial arachnoid cyst in the elderly: A survey on 39 cases.  Acta Neurochir. 1991;  113 42-47