Institutional experience of endoscopic suprasellar arachnoid cyst fenestration.
BACKGROUND
Suprasellar arachnoid cysts can differ from other arachnoid cysts in several ways, making a separate analysis of these cysts worthwhile. Herein, we present the outcome and perform volumetric analysis of six children with suprasellar arachnoid cysts treated with endoscopic ventriculocystocisternostomy in order to evaluate the long-term outcomes.


METHODS
Operative and postoperative data were retrospectively reviewed for six patients harboring suprasellar arachnoid cysts. Imaging was then used to follow success of surgical intervention.


RESULTS
Six patients with suprasellar arachnoid cysts underwent ventriculocystocisternostomy. Presenting symptoms were headaches in three patients, developmental delay in another, and an incidental finding in the remaining patients. All patients had enlarged lateral and third ventricles on initial imaging. Average age at presentation was 145.7 months (65.4-250.2). Follow-up was an average of 46.5 months (3-84). The average cyst size was 153.96 cm(3) (42.98-369.20) preoperatively and an average of 39.92 cm(3) (3.20-101.47) at follow-up.


CONCLUSIONS
Based on our experience, suprasellar arachnoid cyst treatment with ventriculocystocisternostomy is an adequate surgical intervention. Suprasellar and third ventricular size does respond to the surgical intervention at long-term follow-up.
Pediatric Neurosurgery, Children's Hospital, 1600 7th Avenue South ACC 400, Birmingham, AL, USA.
Elias
E
Rizk
Joshua J
JJ
Chern
Christine
C
Tagayun
R Shane
RS
Tubbs
Todd
T
Hankinson
Curtis
C
Rozzelle
W Jerry
WJ
Oakes
Jeffrey P
JP
Blount
John C
JC
Wellons
D016080:Arachnoid Cysts / Q000150:complications / Q000601:surgery*; D020863:Central Nervous System Cysts / Q000150:complications / Q000601:surgery*; D002648:Child; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D008137:Longitudinal Studies; D008279:Magnetic Resonance Imaging; D008297:Male; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D014696:Ventriculostomy / Q000379:methods