Endoscopic fenestration of intraventricular arachnoid cyst
https://www.neuroendo.net/wp-content/uploads/2019/09/Case_15_AC.png 653 653 Adrian Caceres Adrian Caceres http://www.neuroendo.net/wp-content/uploads/2019/09/avatar_user_13_1569400866-96x96.pngEndoscopic fenestration of intraventricular arachnoid cyst
Diagnosis: Intraventricular arachnoid cyst
- 14-month-old girl
- Acutely unwell after a fall
- Bulging fontanelle, sunseting eyes, bradycardia
- Macrocephaly which had not been investigated
- CT scan: hydrocephalus, cystic lesion in right lateral ventricle
- Endoscopic fenestration
- Shunt placed afterwards
EQUIPMENT USED
- Storz Lotta endoscope
- Bipolar coagulation electrode
- Sharp click-line scissors
SURGICAL TIPS
- Cyst wall shrunk with bipolar diathermy
- As big a fenestration as possible
Pre op
Post op
