Neuroendoscopic treatment of multiple intracranial arachnoid cysts: a case report

作     者：Di Chen Jun Zhang Lixin Wu Xueyuan Li Siqi Ma Xuqiang Zhu Dongming Yan Chen Di;Zhang Jun;Wu Lixin;Li Xueyuan;Ma Siqi;Zhu Xuqiang;Yan Dongming

作者机构：Department of NeurosurgeryThe First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China Department of OrthopedicsZhengzhou Orthopedics HospitalZhengzhou 450052China 

出 版 物：《Chinese Neurosurgical Journal》 (中华神经外科杂志（英文）)

年 卷 期：2018年第4卷第3期

页      面：177-181页

学科分类：1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100214[医学-肿瘤学] 10[医学] 1009[医学-特种医学] 

主　　题：Arachnoid cysts Endoscopic fenestration Obstructive hydrocephalus 

摘      要：Background: Multiple arachnoid cysts are very rare within the central nervous system. The cysts will sometimes increase in size with age, lead to the mass effect or cerebrospinal fluid (CSF) flow obstruction, and cause some symptoms, which requires the surgery intervention. Case presentation: A 35-year-old female was admitted to our hospital with some symptoms related to hydrocephalus for 1 month. Brain magnetic resonance imaging (MRI) revealed well-marginated cystic lesions with CSF signal intensity in the ventricular and cisternal systems, bilateral temporal lobes, and left occipital lobe. Cine phase-contrast MRI showed the aqueduct of sylvius was blocked by the cyst in the quadrigeminal cistern. We employed endoscopic ventriculocystostomy and septostomy to create the communication of the cyst with ventricular and cistern system. As a result, the patient’s symptoms were relieved. Conclusions: Endoscopic management can be an effective way for treating intracranial multiple arachnoid cysts, which is the first report of this kind. We hope that this report could help improve the management of intracranial arachnoid cysts with the neuroendoscopic technology.