AI Article Synopsis

  • - Arachnoid cysts are common and usually don't require treatment; however, cysts located in the suprasellar area can lead to serious symptoms like hydrocephalus due to blockage of brain fluid flow.
  • - Traditional treatments involve surgical procedures that carry risks, especially in newborns, such as infection and failure of shunts or ventricular surgeries.
  • - A new ultrasound-guided technique allows for safer, bedside treatment of large suprasellar arachnoid cysts in neonates, showing effective results in a case study over two years.

Article Abstract

Arachnoid cysts are relatively common, but rarely require intervention. While most arachnoid cysts in typical middle or posterior cranial fossa locations are seldom symptomatic, suprasellar cysts may become symptomatic due to the potential for ventricular outflow obstruction and hydrocephalus. Typical standard of care for the treatment of these lesions is endoscopic fenestration with third ventriculostomy, or the placement of ventriculoperitoneal or cystoperitoneal shunts. The surgical and anaesthetic risks of traditional interventions may be higher in the early neonatal period, including leak of cerebrospinal fluid, infection, and premature failure of ventriculostomy or shunts. This note describes a novel bedside ultrasound-guided technique to percutaneously fenestrate large suprasellar arachnoid cysts under local anaesthesia. The technique involves insertion of a 25-g spinal needle until contact with the membrane of the arachnoid cyst medially, followed by a lateral sweeping to widely incise/fenestrate the lesion into the ventricular space under continuous ultrasound visualisation. This note describes an example case which demonstrates durable radiological and clinical improvement after 2 years of follow-up. This may represent a management option to temporise, or perhaps definitively manage suprasellar arachnoid cysts in the neonatal period.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579056PMC
http://dx.doi.org/10.1007/s00381-024-06560-zDOI Listing

Publication Analysis

Top Keywords

arachnoid cysts
16
suprasellar arachnoid
12
arachnoid cyst
8
neonatal period
8
note describes
8
arachnoid
6
cysts
5
technical note
4
note durable
4
durable resolution
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!