PRESENTATION AND MANAGEMENT OF SUPRASELLAR ARACHNOID CYSTS - REVIEW OF 20 CASES

被引:123
作者
PIERREKAHN, A
CAPELLE, L
BRAUNER, R
SAINTEROSE, C
RENIER, D
RAPPAPORT, R
HIRSCH, JF
机构
[1] HOP NECKER ENFANTS MALAD,DEPT NEUROSURG,F-75743 PARIS 15,FRANCE
[2] HOP NECKER ENFANTS MALAD,DEPT PEDIAT ENDOCRINOL,F-75743 PARIS 15,FRANCE
[3] HOP NECKER ENFANTS MALAD,DEPT DIABET,F-75743 PARIS 15,FRANCE
[4] HOP NECKER ENFANTS MALAD,INSERM,F-75743 PARIS 15,FRANCE
关键词
cyst; arachnoid; growth hormone; hydrocephalus; precocious puberty; suprasellar lesion; ventriculocystostomy; ventriculostomy;
D O I
10.3171/jns.1990.73.3.0355
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The clinical presentation and treatment of suprasellar arachnoid cysts remain controversial. The authors review 20 cases treated at their institution and 86 cases from the literature reported in sufficient detail for analysis. The high frequency of endocrinological disorders, which not only persist following treatment but may also develop years later despite the satisfactory decrease in volume of the cyst, are emphasized and documented. The difficulties of management are discussed, including: subfrontal approaches to these cysts; removal and/or marsupialization of the cysts, procedures that are frequently dangerous and ineffective; and ventricular shunting which often leads to a paradoxical increase in the size of the cysts. The authors emphasize the advantages of percutaneous ventriculocystostomy, which is a simple, benign, and efficacious procedure.
引用
收藏
页码:355 / 359
页数:5
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