Endoscopic fenestration of middle fossa arachnoid cyst
https://www.neuroendo.net/wp-content/uploads/2018/10/Endoscopic-fenestration-of-middle-fossa-arachnoid-cyst-feature-img.jpg 560 560 Spyros Sgouros Spyros Sgouros http://www.neuroendo.net/wp-content/uploads/2017/10/SSgouros-2016-96x96.jpgEndoscopic fenestration of middle fossa arachnoid cyst
Diagnosis: Middle fossa arachnoid cyst
- 7-month-old girl
- Increasing head circumference > 97%
- MR scan: large middle fossa arachnoid cyst causing midline shift
- Endoscopic fenestration was performed to the carotid cistern and the right lateral ventricle (operation performed in 2009)
- Postoperative MR scan showed reduction of cyst volume and restoration of midline shift
- The child is well at the age of 10 years following normal schooling
EQUIPMENT USED
- Aesculap Minop
SURGICAL TIPS
- Fenestration in the carotid cistern dilated with balloon
- “Tap” gently with the blunt monopolar coagulation lead the ventricular wall to identify the thinnest part suitable for fenestration
- Fenestration in the ventricular wall performed with monopolar coagulation and enlarged as much as possible
Pre op
Post op
