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Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review

BACKGROUND: Arachnoid cysts (ACs) are collections of cerebrospinal fluids (CSFs) that develop within the arachnoid layer of the meninges. Sellar ACs are comparatively rare. In general, ACs account for approximately 1% of all intracranial mass lesions, and sellar ACs are 3% of all intracranial ACs. A...

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Autores principales: Matmusaev, Maruf, Watanabe, Tadashi, Iwami, Kenichiro, Akhmediev, Tokhir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159303/
https://www.ncbi.nlm.nih.gov/pubmed/37151455
http://dx.doi.org/10.25259/SNI_1102_2022
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author Matmusaev, Maruf
Watanabe, Tadashi
Iwami, Kenichiro
Akhmediev, Tokhir
author_facet Matmusaev, Maruf
Watanabe, Tadashi
Iwami, Kenichiro
Akhmediev, Tokhir
author_sort Matmusaev, Maruf
collection PubMed
description BACKGROUND: Arachnoid cysts (ACs) are collections of cerebrospinal fluids (CSFs) that develop within the arachnoid layer of the meninges. Sellar ACs are comparatively rare. In general, ACs account for approximately 1% of all intracranial mass lesions, and sellar ACs are 3% of all intracranial ACs. An endoscopic transnasal transsphenoidal approach for the treatment of ACs by fenestrating the cyst’s wall and connecting with the subarachnoid space is the most optimal option. CASE DESCRIPTION: A 74-year-old woman whose sellar AC was diagnosed on magnetic resonance imaging a year ago was admitted to our hospital with complaints of bitemporal hemianopia and diminished visual acuity in the past 2 months. Sellar AC was diagnosed based on the clinical history and presentation, as well as neurologic, endocrinologic, and ophthalmologic examinations, including visual acuity and visual field examination, and additional imaging findings. The patient with a sellar/suprasellar AC was treated by an endoscopic transnasal transsphenoidal approach with cyst drainage and perforation of the lamina terminalis. Postoperatively, the visual disturbances improved markedly. No surgery-related complications occurred. CONCLUSION: The endoscopic transnasal transsphenoidal approach remains a minimally invasive and preferred approach for the treatment of sellar/suprasellar ACs. Hermetically reconstructing the sellar floor is an effective method to prevent CSF leakage.
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spelling pubmed-101593032023-05-05 Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review Matmusaev, Maruf Watanabe, Tadashi Iwami, Kenichiro Akhmediev, Tokhir Surg Neurol Int Case Report BACKGROUND: Arachnoid cysts (ACs) are collections of cerebrospinal fluids (CSFs) that develop within the arachnoid layer of the meninges. Sellar ACs are comparatively rare. In general, ACs account for approximately 1% of all intracranial mass lesions, and sellar ACs are 3% of all intracranial ACs. An endoscopic transnasal transsphenoidal approach for the treatment of ACs by fenestrating the cyst’s wall and connecting with the subarachnoid space is the most optimal option. CASE DESCRIPTION: A 74-year-old woman whose sellar AC was diagnosed on magnetic resonance imaging a year ago was admitted to our hospital with complaints of bitemporal hemianopia and diminished visual acuity in the past 2 months. Sellar AC was diagnosed based on the clinical history and presentation, as well as neurologic, endocrinologic, and ophthalmologic examinations, including visual acuity and visual field examination, and additional imaging findings. The patient with a sellar/suprasellar AC was treated by an endoscopic transnasal transsphenoidal approach with cyst drainage and perforation of the lamina terminalis. Postoperatively, the visual disturbances improved markedly. No surgery-related complications occurred. CONCLUSION: The endoscopic transnasal transsphenoidal approach remains a minimally invasive and preferred approach for the treatment of sellar/suprasellar ACs. Hermetically reconstructing the sellar floor is an effective method to prevent CSF leakage. Scientific Scholar 2023-04-07 /pmc/articles/PMC10159303/ /pubmed/37151455 http://dx.doi.org/10.25259/SNI_1102_2022 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Matmusaev, Maruf
Watanabe, Tadashi
Iwami, Kenichiro
Akhmediev, Tokhir
Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review
title Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review
title_full Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review
title_fullStr Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review
title_full_unstemmed Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review
title_short Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review
title_sort endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159303/
https://www.ncbi.nlm.nih.gov/pubmed/37151455
http://dx.doi.org/10.25259/SNI_1102_2022
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