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Clinical and Neuroimaging Outcomes of Surgically Treated Intracranial Cysts in 110 Children
OBJECTIVE: The indications and optimal surgical treatments for intracranial cysts are controversial. In the present study, we describe long-term clinical and neuroimaging results of surgically treated intracranial cysts in children. The goal of this study is to contribute to the discussion of the de...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Neurosurgical Society
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488640/ https://www.ncbi.nlm.nih.gov/pubmed/23133720 http://dx.doi.org/10.3340/jkns.2012.52.4.325 |
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author | Lee, Eun-Jung Ra, Young-Shin |
author_facet | Lee, Eun-Jung Ra, Young-Shin |
author_sort | Lee, Eun-Jung |
collection | PubMed |
description | OBJECTIVE: The indications and optimal surgical treatments for intracranial cysts are controversial. In the present study, we describe long-term clinical and neuroimaging results of surgically treated intracranial cysts in children. The goal of this study is to contribute to the discussion of the debate. METHODS: This study included 110 pediatric patients that underwent surgeries to treat intracranial cysts. Endoscopic cyst fenestrations were performed in 71 cases, while craniotomies and cyst excisions (with or without fenestrations) were performed in 30 patients. Cystoperitoneal shunts were necessary for nine patients. Long-term results were retrospectively assessed with medical and neuroimaging records. RESULTS: Clinical and radiological improvement was reported in 87.3% and 92.8% of cases, respectively, after endoscopic neurosurgery, and in 93.3% and 100% using open microsurgery whereas 88.9% and 85.7% after shunt operation. There were no statistical differences in clinical outcomes (p=0.710) or volume reductions (p=0.177) among the different surgeries. There were no mortalities or permanent morbidities, but complications such as shunt malfunctions, infections, and subdural hematomas were observed in 56% of the patients that had shunt operations. A total of 13 patients (11.8%) underwent additional surgeries due to recurrences or treatment failures. The type of surgery performed did not influence the recurrence rate (p=0.662) or the failure rate (p=0.247). CONCLUSION: Endoscopic neurosurgeries are less invasive than microsurgeries and are at least as effective as open surgeries. Thus, given the advantages and complications of these surgical techniques, we suggest that endoscopic fenestration should be the first treatment attempted in children with intracranial cysts. |
format | Online Article Text |
id | pubmed-3488640 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-34886402012-11-06 Clinical and Neuroimaging Outcomes of Surgically Treated Intracranial Cysts in 110 Children Lee, Eun-Jung Ra, Young-Shin J Korean Neurosurg Soc Clinical Article OBJECTIVE: The indications and optimal surgical treatments for intracranial cysts are controversial. In the present study, we describe long-term clinical and neuroimaging results of surgically treated intracranial cysts in children. The goal of this study is to contribute to the discussion of the debate. METHODS: This study included 110 pediatric patients that underwent surgeries to treat intracranial cysts. Endoscopic cyst fenestrations were performed in 71 cases, while craniotomies and cyst excisions (with or without fenestrations) were performed in 30 patients. Cystoperitoneal shunts were necessary for nine patients. Long-term results were retrospectively assessed with medical and neuroimaging records. RESULTS: Clinical and radiological improvement was reported in 87.3% and 92.8% of cases, respectively, after endoscopic neurosurgery, and in 93.3% and 100% using open microsurgery whereas 88.9% and 85.7% after shunt operation. There were no statistical differences in clinical outcomes (p=0.710) or volume reductions (p=0.177) among the different surgeries. There were no mortalities or permanent morbidities, but complications such as shunt malfunctions, infections, and subdural hematomas were observed in 56% of the patients that had shunt operations. A total of 13 patients (11.8%) underwent additional surgeries due to recurrences or treatment failures. The type of surgery performed did not influence the recurrence rate (p=0.662) or the failure rate (p=0.247). CONCLUSION: Endoscopic neurosurgeries are less invasive than microsurgeries and are at least as effective as open surgeries. Thus, given the advantages and complications of these surgical techniques, we suggest that endoscopic fenestration should be the first treatment attempted in children with intracranial cysts. The Korean Neurosurgical Society 2012-10 2012-10-22 /pmc/articles/PMC3488640/ /pubmed/23133720 http://dx.doi.org/10.3340/jkns.2012.52.4.325 Text en Copyright © 2012 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Article Lee, Eun-Jung Ra, Young-Shin Clinical and Neuroimaging Outcomes of Surgically Treated Intracranial Cysts in 110 Children |
title | Clinical and Neuroimaging Outcomes of Surgically Treated Intracranial Cysts in 110 Children |
title_full | Clinical and Neuroimaging Outcomes of Surgically Treated Intracranial Cysts in 110 Children |
title_fullStr | Clinical and Neuroimaging Outcomes of Surgically Treated Intracranial Cysts in 110 Children |
title_full_unstemmed | Clinical and Neuroimaging Outcomes of Surgically Treated Intracranial Cysts in 110 Children |
title_short | Clinical and Neuroimaging Outcomes of Surgically Treated Intracranial Cysts in 110 Children |
title_sort | clinical and neuroimaging outcomes of surgically treated intracranial cysts in 110 children |
topic | Clinical Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488640/ https://www.ncbi.nlm.nih.gov/pubmed/23133720 http://dx.doi.org/10.3340/jkns.2012.52.4.325 |
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