Hydrocephalus and arachnoid cysts

التفاصيل البيبلوغرافية
العنوان: Hydrocephalus and arachnoid cysts
المؤلفون: Miguel A. Pérez-Espejo, Juan F. Martínez-Lage, María-José Almagro, Antonio López López-Guerrero
المصدر: Child's Nervous System. 27:1643-1652
بيانات النشر: Springer Science and Business Media LLC, 2011.
سنة النشر: 2011
مصطلحات موضوعية: congenital, hereditary, and neonatal diseases and abnormalities, medicine.medical_specialty, Pathology, business.industry, General Medicine, medicine.disease, Magnetic Resonance Imaging, nervous system diseases, Hydrocephalus, Arachnoid Cysts, Fetal Diseases, X ray computed, Csf shunting, Pediatrics, Perinatology and Child Health, medicine, Humans, Neurology (clinical), Neurosurgery, Radiology, Tomography, X-Ray Computed, business, Ventriculomegaly
الوصف: The management of arachnoid cysts (AC) remains controversial. An additional problem derives from the management of hydrocephalus associated with an AC. In this work, we discuss existing procedures proposed in the current literature for their treatment.We reviewed selected reports on intracranial ACs placing special interest in those about the association of hydrocephalus and ACs. We also briefly surveyed data of our patients with this association.Hydrocephalus is often found in midline and posterior fossa ACs. Interhemispheric lesions may also evolve with ventriculomegaly, while middle fossa lesions rarely produce hydrocephalus. Patients' age, cyst location and size, and macrocephaly have all been related to the development of hydrocephalus. Some authors remark on the role played by hydrocephalus and hypothesize that some ACs would result from disturbed cerebrospinal fluid (CSF) dynamics. They also propose that ACs might represent a localized form of hydrocephalus. We also comment on hydrocephalus in relation to the diverse locations of ACs. Neuroendoscopic techniques have transformed previous ways of management as cystoperitoneal shunting and open fenestration.ACs may be pathogenetically related with hydrocephalus, and conversely, ACs may cause hydrocephalus. In some patients, aberrant CSF dynamics seems to play a major role in the development of both cyst and hydrocephalus. Hydrocephalus and ACs may be treated exclusively with neuroendoscopic procedures, although some patients will still require CSF shunting. The ideal option seems to consist of choosing the method that offers the highest success with a single procedure for treating the hydrocephalus and the AC simultaneously.
تدمد: 1433-0350
0256-7040
DOI: 10.1007/s00381-011-1481-2
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2fcbb9c733c44b9774e1f7dd784eac7b
https://doi.org/10.1007/s00381-011-1481-2
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....2fcbb9c733c44b9774e1f7dd784eac7b
قاعدة البيانات: OpenAIRE
الوصف
تدمد:14330350
02567040
DOI:10.1007/s00381-011-1481-2