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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(01): 184-187
DOI: 10.4103/1793-5482.180956
Case Report

Pure endoscopic management of fourth ventricle arachnoid cyst: Case report and literature review

Hani Aljohani
Department of Neurosurgery, Pasteur Hospital of Colmar, Colmar
,
A Romano
1   Department of Neurosurgery, Parma University Hospital, Parma
,
C Iaccarino
1   Department of Neurosurgery, Parma University Hospital, Parma
,
M Ganau
1   Department of Neurosurgery, Parma University Hospital, Parma
,
P Diemidio
1   Department of Neurosurgery, Parma University Hospital, Parma
,
S Chibbaro
1   Department of Neurosurgery, Parma University Hospital, Parma
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Arachnoid cysts (ACs) within the fourth ventricle are rare, and only a few cases have been reported in the literature. These are benign lesions within the arachnoid membrane, and they have been reported to occur in almost all locations where arachnoid is present. Different procedures have been performed to restore a normal cerebrospinal fluid dynamic and/or pressure, including shunting and partial or complete excision of the cyst by open microsurgery or endoscopic fenestration. We report the case of a fourth ventricle AC successfully treated using only endoscopic anterior trans-frontal cyst fenestration/marsupialization and standard third ventriculostomy. Clinical and technical features are discussed, along with the pertinent literature.

Key-words:

Arachnoid cyst - endoscopy - fenestration - fourth ventricle - marsupialization


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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