Success of Pure Neuroendoscopic Technique in the Treatment of Sylvian Arachnoid Cysts in Children

dc.contributor.authorKarabağlı, Hakan
dc.contributor.authorEtus, Volkan
dc.date.accessioned2020-03-26T18:31:25Z
dc.date.available2020-03-26T18:31:25Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractNeuroendoscopic approaches to Sylvian arachnoid cysts (SACs) constitute an alternative treatment option to craniotomy for fenestration and shunting procedures. In this study, the authors discuss their experience on pure neuroendoscopic technique in the treatment of SACs in children. The results of treatment of 20 children (range of age, between 7 months and 17 years) with Galassi type II (n, 5) or III (n, 15) SACs who were subjected to pure neuroendoscopic fenestration procedure were presented. It was possible to perform the cystocisternostomy endoscopically in all children with several stomies. The site of the opening was between the optic nerve and the carotid artery in 19, between the carotid artery and the oculomotor nerve in 17, and below the oculomotor nerve in 7. The stomies were enlarged in all cases using the double balloon. Three of the cases required repetition of the operation and two cases required "cystoperitoneal shunt" implantation. There was one minor complication in a patient who had an asymptomatic postoperative subdural effusion, which resolved spontaneously. Of the 18 cases, in which the neuroendoscopic procedures succeeded, 10 showed a reduction in cyst size. The mean follow-up period was 53 months. Our results suggest that "pure neuroendoscopic" approach can be used safely in the management of SACs in children. We recommend at least two fenestration sites for an effective marsupialization of the cyst within the basal cisterns. In pediatric cases, the use of a small diameter rigid endoscope allows to reach safely the planned target areas.en_US
dc.identifier.citationKarabağlı, H., Etus, V., (2012). Success of Pure Neuroendoscopic Technique in the Treatment of Sylvian Arachnoid Cysts in Children. Childs Nervous System, 28(3), 445-452. DOI 10.1007/s00381-011-1632-5
dc.identifier.doi10.1007/s00381-011-1632-5en_US
dc.identifier.endpage452en_US
dc.identifier.issn0256-7040en_US
dc.identifier.issn1433-0350en_US
dc.identifier.issue3en_US
dc.identifier.pmid22089324en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage445en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00381-011-1632-5
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28435
dc.identifier.volume28en_US
dc.identifier.wosWOS:000300663300019en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKarabağlı, Hakan
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofChilds Nervous Systemen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectArachnoid Cysten_US
dc.subjectChildrenen_US
dc.subjectEndoscopyen_US
dc.subjectSylvianen_US
dc.subjectTechniqueen_US
dc.titleSuccess of Pure Neuroendoscopic Technique in the Treatment of Sylvian Arachnoid Cysts in Childrenen_US
dc.typeArticleen_US

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