PMID: 8607072Feb 1, 1996Paper

New surgical treatment of middle fossa arachnoid cyst

Surgical Neurology
M ShigemoriT Tokutomi

Abstract

A new surgical treatment of middle fossa arachnoid cyst is reported. The benefit of our surgical procedure is to maintain the physiologic pathway of the cerebrospinal fluid (CSF) without a shunting procedure. Following a small frontotemporal craniotomy, a linear incision in the outer wall of the cyst is made. The basal subarachnoid cisterns and distal sylvian cisterns are widely opened microsurgically. The outer wall of the cyst is then closed to prevent CSF leakage (arachnoidplasty). We have experienced six patients who underwent this new surgical treatment. All their cysts showed nor or delayed influx of the contrast medium on preoperative computed tomography cisternogram. A favorable outcome was attained in the long-term follow-up without any complications. The present technique was designed to secure physiologic CSF circulation and to avoid the use of a shunting system. A total of six patients treated with our new technique have been followed-up 6 years, and a good clinical outcome has been observed in all of them without complications.

References

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Jan 1, 1981·Journal of Neuropathology and Experimental Neurology·S S Rengachary, I Watanabe

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Citations

Mar 22, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Emilia NowosławskaBartosz Polis
Aug 16, 2008·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Liang ZengLing Li
Feb 29, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Gianpiero TamburriniConcezio Di Rocco

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