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Pediatric interhemispheric arachnoid cyst: An institutional experience

BACKGROUND: Interhemispheric arachnoid cysts (IHACs) are a rare type of congenital arachnoid cyst accounting for <5% of all cases. The optimum surgical management of symptomatic IHAC is still controversial, and there are no clear guidelines. MATERIALS AND METHODS: Retrospective analysis of six pe...

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Autores principales: Mankotia, Dipanker Singh, Sardana, Hardik, Sinha, Sumit, Sharma, Bhawani Shankar, Suri, Ashish, Borkar, Sachin Anil, Satyarthee, Guru Dutta, Chandra, P. Sarat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862285/
https://www.ncbi.nlm.nih.gov/pubmed/27195030
http://dx.doi.org/10.4103/1817-1745.181258
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author Mankotia, Dipanker Singh
Sardana, Hardik
Sinha, Sumit
Sharma, Bhawani Shankar
Suri, Ashish
Borkar, Sachin Anil
Satyarthee, Guru Dutta
Chandra, P. Sarat
author_facet Mankotia, Dipanker Singh
Sardana, Hardik
Sinha, Sumit
Sharma, Bhawani Shankar
Suri, Ashish
Borkar, Sachin Anil
Satyarthee, Guru Dutta
Chandra, P. Sarat
author_sort Mankotia, Dipanker Singh
collection PubMed
description BACKGROUND: Interhemispheric arachnoid cysts (IHACs) are a rare type of congenital arachnoid cyst accounting for <5% of all cases. The optimum surgical management of symptomatic IHAC is still controversial, and there are no clear guidelines. MATERIALS AND METHODS: Retrospective analysis of six pediatric patients of IHAC operated from 2012 to 2015 at our institute. There was definitive sex predisposition with all patients being males. Endoscopic cystoventriculostomy, cystocisternostomy, and cystoperitoneal shunt surgeries were performed in three patients each. RESULTS: The median age at presentation was 13 months. The most common clinical presentations were macrocrania with rapidly increasing head size, seizures, infantile spasms, and developmental delay. The mean duration of follow-up was 24.16 months (range: 3–36 months). Cyst size decreased in all the patients on follow-up imaging. Head size stabilized in all the patients. None of the patients required a second surgical procedure till the last follow-up. CONCLUSIONS: Both endoscopic cyst fenestration and shunt surgery are safe and effective in management of IHAC.
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spelling pubmed-48622852016-05-18 Pediatric interhemispheric arachnoid cyst: An institutional experience Mankotia, Dipanker Singh Sardana, Hardik Sinha, Sumit Sharma, Bhawani Shankar Suri, Ashish Borkar, Sachin Anil Satyarthee, Guru Dutta Chandra, P. Sarat J Pediatr Neurosci Original Article BACKGROUND: Interhemispheric arachnoid cysts (IHACs) are a rare type of congenital arachnoid cyst accounting for <5% of all cases. The optimum surgical management of symptomatic IHAC is still controversial, and there are no clear guidelines. MATERIALS AND METHODS: Retrospective analysis of six pediatric patients of IHAC operated from 2012 to 2015 at our institute. There was definitive sex predisposition with all patients being males. Endoscopic cystoventriculostomy, cystocisternostomy, and cystoperitoneal shunt surgeries were performed in three patients each. RESULTS: The median age at presentation was 13 months. The most common clinical presentations were macrocrania with rapidly increasing head size, seizures, infantile spasms, and developmental delay. The mean duration of follow-up was 24.16 months (range: 3–36 months). Cyst size decreased in all the patients on follow-up imaging. Head size stabilized in all the patients. None of the patients required a second surgical procedure till the last follow-up. CONCLUSIONS: Both endoscopic cyst fenestration and shunt surgery are safe and effective in management of IHAC. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4862285/ /pubmed/27195030 http://dx.doi.org/10.4103/1817-1745.181258 Text en Copyright: © 2016 Journal of Pediatric Neurosciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, 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 Original Article
Mankotia, Dipanker Singh
Sardana, Hardik
Sinha, Sumit
Sharma, Bhawani Shankar
Suri, Ashish
Borkar, Sachin Anil
Satyarthee, Guru Dutta
Chandra, P. Sarat
Pediatric interhemispheric arachnoid cyst: An institutional experience
title Pediatric interhemispheric arachnoid cyst: An institutional experience
title_full Pediatric interhemispheric arachnoid cyst: An institutional experience
title_fullStr Pediatric interhemispheric arachnoid cyst: An institutional experience
title_full_unstemmed Pediatric interhemispheric arachnoid cyst: An institutional experience
title_short Pediatric interhemispheric arachnoid cyst: An institutional experience
title_sort pediatric interhemispheric arachnoid cyst: an institutional experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862285/
https://www.ncbi.nlm.nih.gov/pubmed/27195030
http://dx.doi.org/10.4103/1817-1745.181258
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