Clinical treatment of symptomatic intracranial arachnoid cyst
10.3760/cma.j.issn.1671-8925.2012.08.010
- VernacularTitle:症状性颅内蛛网膜囊肿的临床治疗分析
- Author:
Qing-Feng HUANG
1
;
Wei SHI
;
Xing SU
;
Xiao-Jian LU
;
Zhi-Kai GU
;
Jian CHEN
Author Information
1. 南通大学附属医院
- Keywords:
Arachnoid cyst;
Cystectomy;
Cystoperitoneal shunt;
Endoscopic fenestration;
Stereotactic aspiration
- From:
Chinese Journal of Neuromedicine
2012;11(8):796-798
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical features and surgical indications of patients with symptomatic intracranial arachnoid cyst (IAC) and their surgical effect. Methods We retrospectively reviewed the clinical data of 32 patients with IAC,admitted to our hospital from January 2000 to January 2010. Post-therapeutic results were clinically and radiologically assessed. Results The follow-up ranged from 12 to 108 months; 2 patients received conventional treatment were lost of follow-up.Good outcome was noted in 23 patients (shrank cyst volume or alleviated clinical symptoms,72％); 6 patients (no changes in cyst volume or clinical symptoms,18％) remained unchanged,while only 1 (3.1％) had worsened giant suprasellar cyst. lmageological diagnosis showed disappearance of cyst in 4 (12.5％),decreased volume of cyst in 16 (50％) and no changes of cyst in 12 (37.5％). Conclusion The major indications of surgery for IAC include intracranial hypertension, damage in nervous system and compression of the cerebral tissues. Surgery excision and marsupialization of symptomatic patients can provide good results.
