Xu Siyi, Wang Yong, Luo Qizhong, Jiang Jiyao, Zhong Chunlong
Department of Neurosurgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
J Craniofac Surg. 2016 Jun;27(4):973-5. doi: 10.1097/SCS.0000000000002624.
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.
中颅窝蛛网膜囊肿（MFAC）是最常见的蛛网膜囊肿类型。本研究的目的是评估内镜开窗术治疗MFAC的疗效。作者报告了26例有各种症状（如巨头症、癫痫、头痛和发育迟缓）的MFAC患者。作者在全身麻醉下使用神经内镜进行手术，引流囊肿并开窗，以建立囊肿与脑池的交通。26例患者均成功开窗，大多数患者术前症状至少有1项改善，术后囊肿明显缩小。作者得出结论，内镜开窗术可能是治疗有症状MFAC的一种可接受的微创选择。
