Vol. 20 No. 3 (2016)
NEUROSURGERY

Results of surgical treatment of symptomatic cysts of lateral fissure in children

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  • G Letyagin,
  • V Djafarov,
  • V Danilin,
  • S Kim,
  • M Amelin,
  • A Sisoeva
G Letyagin
Novosibirsk Center of Neurosurgery, Ministry of Health Care of Russian Federation, 630087 Novosibirsk, Russian Federation
Bio
V Djafarov
A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health Care of Russian Federation, 127473 Moscow, Russian Federation
Bio
V Danilin
Novosibirsk Center of Neurosurgery, Ministry of Health Care of Russian Federation, 630087 Novosibirsk, Russian Federation
Bio
S Kim
Novosibirsk Center of Neurosurgery, Ministry of Health Care of Russian Federation, 630087 Novosibirsk, Russian Federation
Bio
M Amelin
Novosibirsk Center of Neurosurgery, Ministry of Health Care of Russian Federation, 630087 Novosibirsk, Russian Federation
Bio
A Sisoeva
Novosibirsk Center of Neurosurgery, Ministry of Health Care of Russian Federation, 630087 Novosibirsk, Russian Federation
Bio
DOI: https://doi.org/10.21688/1681-3472-2016-3-90-97

Published 2016-11-10

Keywords

  • brain arachnoid cysts,
  • Sylvian fissure cysts,
  • lateral fissure cysts,
  • neuroendoscopy,
  • cysto-cisternostomy,
  • fenestration,
  • cysto-peritoneal shunt
    • ...More
    Less

How to Cite

Letyagin, G., Djafarov, V., Danilin, V., Kim, S., Amelin, M., & Sisoeva, A. (2016). Results of surgical treatment of symptomatic cysts of lateral fissure in children. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 20(3), 90–97. https://doi.org/10.21688/1681-3472-2016-3-90-97

Copyright (c) 2016 Letyagin G.V., Djafarov V.M., Danilin V.E., Kim S.A., Amelin M.E., Sisoeva A.A.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Aim. The study aims to analyze the clinical and radiological results of treating arachnoid cysts of lateral fissure, which present a frequent pathology accounting for 30-50% of all brain arachnoid cysts. At present, the strategy of surgical treatment is controversial. For a long time, treatment included both microsurgical and shunt operations, however, in modern neurosurgery many authors prefer endoscopic techniques or endoscopic-assisted microsurgery. Determining the indications for intervention also remains disputable. Some authors tend to believe that "preventive" surgery of asymptomatic arachnoid cysts of lateral fissure with minimal clinical manifestations is also debatable.
Methods. 22 pediatric patients underwent surgery at Novosibirsk Center of Neurosurgery from 2013 to 2015. Successful interventions by using mostly an endoscopic approach were carried out in 18 (81.8%) patients resulting in regression of clinical symptoms. A positive effect was not achieved in 4 (18.1%) patients with primary endoscopic cysto-cisternostomy who required additional operations.
Conclusion. Endoscopic fenestration in our series is a safe, effective and minimally invasive procedure of the first stage of treatment in patients with a symptomatic arachnoid cyst of lateral fissure.

Received 5 May 2016. Accepted 14 September 2016.

Funding: The study had no sponsorship.
Conflict of interest: The authors declare no conflict of interest.

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