Endonasal endoscopic treatment of parasellar arachnoid cyst: report of a case.
A 40-year-old man presented with intractable headache of 5-year duration and a 1-month history of intermittent cerebrospinal fluid (CSF) rhinorrhea. Magnetic resonance imaging showed a cystic lesion with signal characteristics similar to that of CSF. The patient underwent endonasal endoscopic surgery of the sphenoid sinus and the fistula was reinforced with facia, muscle cartilage, and posterior septal flap while performing cystocisternostomy. The postoperative course was uneventfiul CSF leakage stopped, and headache improved. Postoperative imaging revealed total collapse of the cyst cavity. Based on our findings, endonasal endoscopic treatment of the sellar and parasellar arachnoid cysts, if presenting into the sphenoid sinus, could be an acceptable minimally invasive alternative to the conventional modalities.
Naraghi
Mohsen
M
Department of Otorhinolaryngology-Head and Neck Surgery, Tehran University of Medical Sciences, Iran.
Saberi
Hooshang
H
Kashfi
Arash
A
D000328:Adult; D016080:Arachnoid Cysts / Q000175:diagnosis / Q000601:surgery*; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000601:surgery*; D012658:Sella Turcica / Q000473:pathology / Q000601:surgery; D013101:Sphenoid Sinus / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome