Microsurgical fenestration and cystoperitoneal shunt through preauricular subtemporal keyhole craniotomy for the treatment of symptomatic middle fossa arachnoid cysts in children

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dc.authorid0000-0001-7866-8113
dc.authorid0000-0001-9433-0307
dc.contributor.authorSılav, Gökalp
dc.contributor.authorSarı, Ramazan
dc.contributor.authorBölükbaşı, Fatih Han
dc.contributor.authorAltaş, Murat
dc.contributor.authorIşık, Nejat
dc.contributor.authorElmacı, İlhan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:51:08Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:51:08Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.descriptionWOS: 000348115200010
dc.descriptionPubMed ID: 25142689
dc.description.abstractThe optimal surgical treatment for symptomatic middle fossa arachnoid cyst is still controversial. The most leading therapeutic options include cyst shunting and fenestration (endoscopic, microsurgical). We present our experience on surgical treatments of arachnoid cysts. A retrospective data review of 16 children who underwent keyhole craniotomy for microsurgical fenestration and shunting of middle fossa arachnoid cysts between 1999 and 2012 was performed after institutional review board approval. The average patient age was 6.1 years. The average follow-up period was 36.5 months. There were ten male and six female patients in the series. Indications for surgery included intractable headaches (50 %), increasing in cyst size (18.75 %), and seizures (31.25 %). All patient records were reviewed for their clinical presentation, classification, cyst resolution, symptom resolution, and cyst outcomes. After surgery, all patients underwent assessments of clinical and radiological improvement. Postoperative complications were observed in two cases: progressively resolving monoparesia in one case and resolving epileptic seizure with monotherapy in the other. All patients had a satisfactory clinical outcome, and in 87.5 %, there was either a decrease in the size or a complete disappearance of the MFAC. Nevertheless, three (18.75 %) of all patients needed shunt revision because of shunt dysfunction. Complication related to surgical technique was cerebrospinal fluid leak which spontaneously resolved in one patient. Microsurgical fenestration with keyhole craniotomy to provide passage between cysts to basal cisterns together with cystoperitoneal shunting during the same operation is still an effective and safe method in cases with symptomatic middle fossa arachnoid cysts in children.
dc.identifier.citationSılav, G., Sarı, R., Bölükbaşı, F. H., Altaş, M., Işık, N. ve Elmacı, İ. (2015). Microsurgical fenestration and cystoperitoneal shunt through preauricular subtemporal keyhole craniotomy for the treatment of symptomatic middle fossa arachnoid cysts in children. Child's Nervous System, 31(1), 87-93. https://dx.doi.org/10.1007/s00381-014-2530-4
dc.identifier.doi10.1007/s00381-014-2530-4
dc.identifier.endpage93
dc.identifier.issn0256-7040
dc.identifier.issn1433-0350
dc.identifier.issue1
dc.identifier.scopusqualityQ2
dc.identifier.startpage87
dc.identifier.urihttps://dx.doi.org/10.1007/s00381-014-2530-4
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2154
dc.identifier.volume31
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Verlag
dc.relation.ispartofChild's Nervous Systemen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectArachnoid Cyst
dc.subjectShunting
dc.subjectMicrosurgical Fenestration
dc.subjectKeyhole Approach
dc.titleMicrosurgical fenestration and cystoperitoneal shunt through preauricular subtemporal keyhole craniotomy for the treatment of symptomatic middle fossa arachnoid cysts in children
dc.typeArticle

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