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Endoscopic Transsphenoidal Cisternostomy for Nonneoplastic Sellar Cysts

Background and Importance. Sellar arachnoid cysts and Rathke's cleft cysts are benign lesions that produce similar symptoms, including optochiasmatic compression, pituitary dysfunction, and headache. Studies have reported the use of various surgical treatment methods for treating these symptoms...

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Autores principales: Su, Yukai, Ishii, Yudo, Lin, Chien-Min, Tahara, Shigeyuki, Teramoto, Akira, Morita, Akio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4317582/
https://www.ncbi.nlm.nih.gov/pubmed/25685785
http://dx.doi.org/10.1155/2015/389474
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author Su, Yukai
Ishii, Yudo
Lin, Chien-Min
Tahara, Shigeyuki
Teramoto, Akira
Morita, Akio
author_facet Su, Yukai
Ishii, Yudo
Lin, Chien-Min
Tahara, Shigeyuki
Teramoto, Akira
Morita, Akio
author_sort Su, Yukai
collection PubMed
description Background and Importance. Sellar arachnoid cysts and Rathke's cleft cysts are benign lesions that produce similar symptoms, including optochiasmatic compression, pituitary dysfunction, and headache. Studies have reported the use of various surgical treatment methods for treating these symptoms, preventing recurrence, and minimizing operative complications. However, the postoperative cerebrospinal fluid (CSF) fistula and recurrence rate remain significant. Clinical Presentation. In this paper, we present 8 consecutive cases involving arachnoid cysts and Rathke's cleft cysts, which were managed by using drainage and cisternostomy, the intentional fenestration of the cyst into the subarachnoid space, and then meticulously closing sellar floor using dural sutures. The postoperative images, CSF fistula rate, and the recurrence rate were favorable. Conclusion. We report this technique and discuss the benefit of this minimally invasive approach.
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spelling pubmed-43175822015-02-15 Endoscopic Transsphenoidal Cisternostomy for Nonneoplastic Sellar Cysts Su, Yukai Ishii, Yudo Lin, Chien-Min Tahara, Shigeyuki Teramoto, Akira Morita, Akio Biomed Res Int Clinical Study Background and Importance. Sellar arachnoid cysts and Rathke's cleft cysts are benign lesions that produce similar symptoms, including optochiasmatic compression, pituitary dysfunction, and headache. Studies have reported the use of various surgical treatment methods for treating these symptoms, preventing recurrence, and minimizing operative complications. However, the postoperative cerebrospinal fluid (CSF) fistula and recurrence rate remain significant. Clinical Presentation. In this paper, we present 8 consecutive cases involving arachnoid cysts and Rathke's cleft cysts, which were managed by using drainage and cisternostomy, the intentional fenestration of the cyst into the subarachnoid space, and then meticulously closing sellar floor using dural sutures. The postoperative images, CSF fistula rate, and the recurrence rate were favorable. Conclusion. We report this technique and discuss the benefit of this minimally invasive approach. Hindawi Publishing Corporation 2015 2015-01-22 /pmc/articles/PMC4317582/ /pubmed/25685785 http://dx.doi.org/10.1155/2015/389474 Text en Copyright © 2015 Yukai Su et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Su, Yukai
Ishii, Yudo
Lin, Chien-Min
Tahara, Shigeyuki
Teramoto, Akira
Morita, Akio
Endoscopic Transsphenoidal Cisternostomy for Nonneoplastic Sellar Cysts
title Endoscopic Transsphenoidal Cisternostomy for Nonneoplastic Sellar Cysts
title_full Endoscopic Transsphenoidal Cisternostomy for Nonneoplastic Sellar Cysts
title_fullStr Endoscopic Transsphenoidal Cisternostomy for Nonneoplastic Sellar Cysts
title_full_unstemmed Endoscopic Transsphenoidal Cisternostomy for Nonneoplastic Sellar Cysts
title_short Endoscopic Transsphenoidal Cisternostomy for Nonneoplastic Sellar Cysts
title_sort endoscopic transsphenoidal cisternostomy for nonneoplastic sellar cysts
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4317582/
https://www.ncbi.nlm.nih.gov/pubmed/25685785
http://dx.doi.org/10.1155/2015/389474
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