Pediatric investigation · 2025
Obstruction caused by suprasellar cisterna arachnoid cyst expansion after ventriculoperitoneal shunt in children with hydrocephalus.
СтатьяНазвание и аннотация: Перевод в очереди
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Li Dapeng, Ma Wenping, Ge Ming, Zhang Di
Аннотация
INTRODUCTION: Suprasellar cistern arachnoid cysts are rare non-neoplastic cystic lesions that represent nearly 1% of all intracranial arachnoid cysts. Symptomatology can vary; small cysts typically do not produce any symptoms, whereas larger cysts may lead to headaches, blurred vision, and other related issues. However, the etiology, pathogenesis, and natural history of this condition remain unclear.
CASE PRESENTATION: This study includes four cases from our hospital from the year 2016 to 2021, first diagnosed with hydrocephalus received ventriculoperitoneal shunt treatments, the patients complicated with enlargement of the suprasellar cisterna arachnoid cyst occurred following ventriculoperitoneal shunt placement, leading to secondary obstructive hydrocephalus and received neuroendoscopic third ventriculostomy and cyst fenestration.
CONCLUSION: Suprasellar cisterna arachnoid cysts may be related to intracranial pressure dynamics. Fluctuations in intracranial pressure can lead to variations in cyst size and may result in associated symptoms. Monitoring imaging and symptoms before, during, and after surgery, along with comprehensive follow-up, is important.
CASE PRESENTATION: This study includes four cases from our hospital from the year 2016 to 2021, first diagnosed with hydrocephalus received ventriculoperitoneal shunt treatments, the patients complicated with enlargement of the suprasellar cisterna arachnoid cyst occurred following ventriculoperitoneal shunt placement, leading to secondary obstructive hydrocephalus and received neuroendoscopic third ventriculostomy and cyst fenestration.
CONCLUSION: Suprasellar cisterna arachnoid cysts may be related to intracranial pressure dynamics. Fluctuations in intracranial pressure can lead to variations in cyst size and may result in associated symptoms. Monitoring imaging and symptoms before, during, and after surgery, along with comprehensive follow-up, is important.