Comparative Study on Two Surgical Procedures for Middle Cranial Fossa Arachnoid Cysts
10.1007/s11596-008-0412-2
- Author:
ZENG LIANG
1
;
FENG LI
;
WANG JUN
;
LI JUN
;
WANG YUPING
;
CHEN JINCAO
;
CHEN JIAN
;
LEI TING
;
LI LING
Author Information
1. Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
- Keywords:
arachnoid cyst;
middle cranial fossa;
fenestration;
cysto-peritoneal shunting;
follow-up
- From:
Journal of Huazhong University of Science and Technology (Medical Sciences)
2008;28(4):431-434
- CountryChina
- Language:Chinese
-
Abstract:
In this study, we explored the operation options for middle cranial fossa arachnoid cysts(MCFAC). One hundred and forty-nine patients who were operated for a symptomatic MCFAC between 1993 and 2006 in our hosptial were analyzed. Follow-up time ranged from 1 y to 14 y(mean=5.4 y). All these patients were divided into three subgroups according to Galassi classification.Long-term outcome and complications were studied respectively. Fenestration (F) resulted in a more favorable long-term outcome and less complication for cysts of types Ⅰ and Ⅱ, whereas a favorable outcome was noted in type Ⅲ patients who underwent cysto-peritoneal shunting (S). We are led to conclude that Fenestration is suitable for cysts of types Ⅰ and Ⅱ (Galassi classification),cysto-peritoneal shunting is better for cysts of type Ⅲ.