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Neuroendoscopic techniques in the treatment of arachnoid cysts in children and comparison with other operative methods
Authors:Emilia Nowosławska  Lech Polis  Danuta Kaniewska  Wanda Mikołajczyk  Jacek Krawczyk  Wojciech Szymański  Krzysztof Zakrzewski  Joanna Podciechowska  Bartosz Polis
Affiliation:(1) The Department of Neurosurgery, Research Institute of Polish Mother’s Memorial Hospital (RIPMMH), Rzgowska 281/289, Łódź 93-338, Poland;(2) The Department of Radiology, Research Institute of Polish Mother’s Memorial Hospital, Rzgowska 281/289, Łódź 93-338, Poland
Abstract:Objective: The authors intended to evaluate the application of neuroendoscopic techniques for the treatment of arachnoid cysts in children and compare it with other operative methods. Methods: The analysis covered the results of treatment of 44 children with arachnoid cysts who were subjected to neuroendoscopic procedures and 62 patients who underwent other operations. Results: The neuroendoscopic treatment of arachnoid cysts was very effective because of low rate of reoperative treatment (six out of 44 patients), no need to change the operative method (40 effective out of total 44 operative procedures), and low rate of persistent worsening (none of 44 patients worsened). Conclusions: Summing up all the mentioned aspects of neuroendoscopic techniques, the neuroendoscopic techniques were the most suitable operative procedures in the treatment of arachnoid cysts in the presented group of patients, providing that the connection between the lumen of the arachnoid cyst and the cerebrospinal fluid cisterns was of good quality.
Keywords:Neuroendoscopy  Shunts  Arachnoid cysts in children  Cerebrospinal fluid hydrodynamics  Cystocysternostomy  Cystosubdurostomy
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