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Erschienen in:
13.09.2017 | How I Do it - Neurosurgical Techniques
Endoscopic treatment of middle fossa arachnoid cysts
Erschienen in: Acta Neurochirurgica | Ausgabe 12/2017
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Background
Endoscopic treatment of middle fossa arachnoid cysts is an alternative option to microsurgical fenestration and shunting procedures. The procedure is minimally invasive and obviates the morbidity of craniotomy and shunting.
Methods
Operative charts and videos of patients undergoing endoscopic fenestration of middle fossa arachnoid cysts were retrieved from the senior author’s database of endoscopic procedures and reviewed. Description of the surgical techniques was then formulated.
Conclusions
Endoscopic fenestration of middle fossa arachnoid cysts entails communicating the cyst cavity to the basal cisterns via multiple fenestrations that should be made as large as possible with care to avoid injury of the juxtaposed neurovascular structures.