title: Endoscopic Fenestration of Twenty-Six Patients With Middle Fossa Arachnoid Cyst.
abstract: Middle fossa arachnoid cyst (MFAC) is the most common kind of arachnoid cyst. The objective of this study was to assess the efficacy of endoscopic fenestration for MFACs. The authors report 26 patients of MFAC with variety symptoms such as macrocrania, epilepsy, headache, and development delay. The authors performed surgery with a neuroendoscope to drain and fenestrate the cyst to obtain nearby cystocisternal communications under general anesthesia. All of the 26 patients had a successful fenestration, most of them had an improvement of at least 1 of their pretreatment symptoms with the substantial reduction of the cyst postoperatively. The authors conclude that endoscopic fenestration may be an acceptable and minimally invasive option for the management of symptomatic MFACs.
authors.affiliation: Department of Neurosurgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
authors.forename: Siyi
authors.initials: S
authors.lastname: Xu
authors.forename: Yong
authors.initials: Y
authors.lastname: Wang
authors.forename: Qizhong
authors.initials: Q
authors.lastname: Luo
authors.forename: Jiyao
authors.initials: J
authors.lastname: Jiang
authors.forename: Chunlong
authors.initials: C
authors.lastname: Zhong
mesh_terms: D000293:Adolescent; D016080:Arachnoid Cysts / Q000175:diagnosis* / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D035301:Cranial Fossa, Middle / Q000000981:diagnostic imaging* / Q000601:surgery*; D004322:Drainage; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006261:Headache; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult