中颅底蛛网膜囊肿的内镜治疗.pdf

Childs Nerv Syst (2011) 27:1121– 1128 DOI 10.1007/s00381-011-1399-8 ORIGINAL PAPER Assessment of endoscopic treatment for middle cranial fossa arachnoid cysts Song-bai Gui Xin-sheng Wang Xu-yi Zong Chu-zhong Li Bo Li Ya-zhuo Zhang Received: 19 October 2010 /Accepted: 18 January 2011 /Published online: 9 February 2011 # Springer-Verlag 2011 Abstract Introduction Background Endoscopic cystocisternotomy is one of three surgical methods used to treat middle cranial fossa arachnoid Arachnoid cysts account for 1% of all intracranial space- cysts. There is debate about which method is the best. occupying lesions [ 1]. The most common site of arachnoid Objective The aim of this study is to evaluate the cysts is the middle cranial fossa [2]. The pathogenesis of effectiveness and safety of endoscopic cystocisternotomy middle cranial fossa arachnoid cysts is controversial. It is for treatment of arachnoid cysts of the middle cranial fossa. believed that formation of these cysts is caused by Methods Thirty-two patients with arachnoid cysts of the abnormal growth of arachnoid during embryonic develop- middle cranial fossa who had undergone endoscopic ment, i.e., splitting of the arachnoid into two layers or cystocisternal fenestration between 2004 and 2009 were repeated growth of the arachnoid. The cysts are then formed studied retrospectively. Data were obtained on clinical and by cerebrospinal fluid (CSF) gradually accumulating between neuroradiological presentation, indications to treat, surgical the layers. Expansion of the cysts compresses the temporal technique, complications, and the results of clinical and lobe, causing secon