Abstract

GELABERT-GONZALEZ, Miguel. Cisto-peritoneal shunt in the surgical treatment of intracranial arachnoid cysts: An analysis of 49 cases. Arch. argent. pediatr. [online]. 2011, vol.109, n.4, pp.357-361. ISSN 0325-0075.

Arachnoid cysts are benign space-occupying lesions formed by an arachnoid membrane containing cerebrospinal fuid. Controversy continues regarding the optimal surgical management. There is ongoing debate regarding whether to fenestrate or to perform shunting of the cyst. We present a single-institution experience on surgical treatment of arachnoid cyst using cistoperitoneal shunt. This serie includes 49 children (31 males/18 females) with a diagnosis of intracranial arachnoid cyst and average age of 4-9 years (range 1-16). The predominant symptom was intracranial hypertension in 26 patients (53%). There were 12 complications in 10 patients. We conclude that arachnoid cyst are located predominantly in the temporal fossa. Cisto-peritoneal shunt is a good option in the younger children and have improved clinical symptoms.

Keywords : Cistoperitoneal shunt; Intracranial arachnoid cyst; Surgical treatment; Surgical results.

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