Weiss Hannah K, Rhodenhiser Emmajane G, Harter David H
Department of Neurosurgery, NYU Langone Health, New York, New York.
Department of Neurosurgery, NYU Grossman School of Medicine, New York, New York.
J Neurosurg Case Lessons. 2024 Dec 2;8(23). doi: 10.3171/CASE24428.
Although intracranial arachnoid cysts are often asymptomatic, a small subset of patients develop debilitating symptoms. A cohort of patients with arachnoid cysts with varying presentations underwent endoscopic cystoventriculostomy, with a significant reduction in symptoms.
Three patients presented with chronic complaints, all involving headache in addition to other symptoms, and were noted to have large intracranial arachnoid cysts on imaging. Following endoscopic cystoventriculostomy, symptom reduction was both rapid and significant. Postoperative imaging revealed slight changes in cyst size and improvement in mass effect.
Endoscopic cystoventriculostomy for symptomatic arachnoid cysts in adults can decrease the chronic symptoms related to mass effect. Careful planning of the surgical trajectory to target the portion of the arachnoid cyst nearest to the ventricular wall allows for a safe and effective intervention that can lead to significant improvement in symptoms. https://thejns.org/doi/10.3171/CASE24428.
尽管颅内蛛网膜囊肿通常无症状，但一小部分患者会出现使人衰弱的症状。一组表现各异的蛛网膜囊肿患者接受了内镜下囊肿脑室造瘘术，症状显著减轻。
3例患者有慢性症状，均除其他症状外还伴有头痛，影像学检查发现有巨大颅内蛛网膜囊肿。内镜下囊肿脑室造瘘术后，症状迅速且显著减轻。术后影像学检查显示囊肿大小略有变化，占位效应有所改善。
成人有症状蛛网膜囊肿的内镜下囊肿脑室造瘘术可减轻与占位效应相关的慢性症状。仔细规划手术路径以针对蛛网膜囊肿最靠近脑室壁的部分，可实现安全有效的干预，从而显著改善症状。https://thejns.org/doi/10.3171/CASE24428
