75 intracranial arachnoid cysts have been observed in the Department of Pediatric Neurosurgery of Gaslini Institute, Genoa, over a 16 years period. 58 cysts have been surgically treated. 11 fenestrations, 45 cysto-peritoneal shunts and 2 stereotactic ventriculo-cystostomies have been performed. 6 patients required also a ventriculo-peritoneal shunt for hydrocephalus. Fenestration cured definitively only 3/11 cysts (27,2%), while with the cysto-peritoneal shunt and ventriculo-cystostomy 30/49 patients recovered and 18/49 improved. Authors report 2,3% of infections, 1 intracystic hemorrhage, 1 subdural hematoma and 3 cases of slit ventricle syndrome. 17 arachnoid cysts of small size or incidentally discovered have not been operated. Indications, advantages and disadvantages of various methods are discussed. Considering the absence of mortality and good results, the authors emphasize the superiority of cysto-peritoneal shunt in the treatment of pediatric intracranial arachnoid cysts.
|Translated title of the contribution||Surgical treatment of intracranial arachnoid cysts|
|Number of pages||5|
|Journal||Rivista di Neurobiologia|
|Publication status||Published - 1994|
ASJC Scopus subject areas