Endoscopic Treatment of Mesencephalic Ependymal Cysts: Technical Case Report

Endoscopic Treatment of Mesencephalic Ependymal Cysts: Technical Case Report AbstractOBJECTIVETo evaluate the results of different neuroendoscopic surgical procedures for the treatment of mesencephalic ependymal cysts.METHODSThe clinical records of five patients treated for symptomatic mesencephalic ependymal cysts were retrospectively studied. Two patients had been operated on using an endoscope-assisted microsurgical technique and three patients using a pure endoscopic procedure.RESULTSAdequate fenestration of the cysts was achieved in all of the patients. Two of the patients were symptom-free, and the other three had improved significantly after a mean follow-up duration of 14 months. There was no surgical morbidity.CONCLUSIONMesencephalic ependymal cysts can be treated adequately, resulting in a low morbidity rate, using neuroendoscopy or endoscopeassisted microsurgery. This specific surgical technique is presented. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Endoscopic Treatment of Mesencephalic Ependymal Cysts: Technical Case Report

Endoscopic Treatment of Mesencephalic Ependymal Cysts: Technical Case Report

1234 Mericle et al m e n t o f truly flexible stents, suitable for in­ w e felt th is t e c h n i q u e w a s contraindicated r i s k s , m a y p r e s e n t a w a y to k e e p t h e fo r this c a s e o f a d i s s e c t i n g pseudoaneu­ tracranial use, is fo rth co m in g . c o i l s o u t o f t h e p a r e n t a r t e r y . T h e p a ­ r y s m a s s o c i a t e d w i t h p a r e n t artery ste­ t i e n t w i l l l i k e l y b e a l i v e f o r a n o t h e r 3 0 S t a n l e y L. B a r n w e l l n o s i s f o r t h e s e r e a s o n s : 1) r is k of further y e a r s , a n d b e f o r e p u t t i n g t h e s e s t e n t s in P o r t l a n d , O r e g o n d a m a g e to t h e v e s s e l w a l l and creation o n a routine basis, there sh o u ld b e better o f a l a r g e r i n t i m a l f l a p w i t h the risk of lo n g -te rm data. H o w e v e r , in this case, c a ­ A U T H O R S ' RESPONSE p a r e n t a r t e r y o c c l u s i o n ; 2) a fter placing rotid o cclu sio n w ith b y p a s s w a s p e r h a p s T O C O M M E N T c o i l s i n s i d e t h e p s e u d o a n e u r y s m , there the o n ly alternative, and this e n d o v a s c u la r w o u l d b e a s u b s t a n t i a l r i s k of further I n r e s p o n s e to D r . T e i t e l b a u m ' s c o m ­ a p p r o a c h s e e m s m u c h m o r e tolerable. T h e c o m p r o m i s i n g t h e p a r e n t ve ssel on de­ m e n t , w e c o n s i d e r e d t h e c o il r e m o d e l ­ stents that are available n o w a re still s o m e ­ f l a t i o n o f t h e s u p p o r t i n g b a llo o n . i n g t e c h n i q u e u s i n g b a l l o o n s ; h o w e v e r , w h a t inflexible, a n d I u n d e r s t a n d d e v e lo p ­ t h e r a p e u t i c s t r a t e g y h a s n o t yet been Endoscopic Treatment of Mesencephalic e s t a b l i s h e d . B e c a u s e t h e s e e p e n d y m a l cysts are Ependymal Cysts: Technical Case Report l o c a t e d i n t r a p a r e...
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/lp/ou_press/endoscopic-treatment-of-mesencephalic-ependymal-cysts-technical-case-Vrl2BOcZFP
Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199811000-00135
Publisher site
See Article on Publisher Site

Abstract

AbstractOBJECTIVETo evaluate the results of different neuroendoscopic surgical procedures for the treatment of mesencephalic ependymal cysts.METHODSThe clinical records of five patients treated for symptomatic mesencephalic ependymal cysts were retrospectively studied. Two patients had been operated on using an endoscope-assisted microsurgical technique and three patients using a pure endoscopic procedure.RESULTSAdequate fenestration of the cysts was achieved in all of the patients. Two of the patients were symptom-free, and the other three had improved significantly after a mean follow-up duration of 14 months. There was no surgical morbidity.CONCLUSIONMesencephalic ependymal cysts can be treated adequately, resulting in a low morbidity rate, using neuroendoscopy or endoscopeassisted microsurgery. This specific surgical technique is presented.

Journal

NeurosurgeryOxford University Press

Published: Nov 1, 1998

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