Endoscopic approach of suprasellar arachnoid cyst

A male 3-year-old child was referred to our service due to increasing head size and mild headache. On physical examination, head circumference was 55 cm (bigger than 97th percentile), the child was conscious, alert and oriented to person, place, time and event, his pupils were isochoric, the light r...

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Autores principales:	Leo Gordiano Matias, Fernando Luís Maeda, Humberto Belem de Aquino, Enrico Ghizoni
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Society for Pediatric Neurosurgery 2020
Materias:	supra selar arachnoid cyst neuroendoscopy pediatric neurosurgery Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/92d0d4dc4a064bf28212acca127eaad5
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spelling	oai:doaj.org-article:92d0d4dc4a064bf28212acca127eaad52021-11-23T21:46:36ZEndoscopic approach of suprasellar arachnoid cyst2675-362610.46900/apn.v2i2(May-August).32https://doaj.org/article/92d0d4dc4a064bf28212acca127eaad52020-07-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/32https://doaj.org/toc/2675-3626A male 3-year-old child was referred to our service due to increasing head size and mild headache. On physical examination, head circumference was 55 cm (bigger than 97th percentile), the child was conscious, alert and oriented to person, place, time and event, his pupils were isochoric, the light reflex was bilaterally positive, eye movements showed a slight palsy on the abduction of the left eye, and a partial vision loss on the left eye was detected. Gait was also impaired. MRI presented a cystic lesion in the suprasellar region suggesting arachnoid cyst, associated with hydrocephalus. An endoscopic ventricular approach was performed through a straight incision over Kocher’s point. The cyst was easily identified, coagulated with cautery and incised with endoscopic scissors. A ball-valve mechanism was well visualized. Prepontine cistern was also sharply opened and the whole cyst wall was coagulated. The patient was discharged on the second postoperative day showing a clinical improvement. Late head CT presented also a radiologic improvement.Leo Gordiano MatiasFernando Luís MaedaHumberto Belem de AquinoEnrico GhizoniBrazilian Society for Pediatric Neurosurgeryarticlesupra selararachnoid cystneuroendoscopypediatric neurosurgeryPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 2, Iss 2(May-August), Pp e322020-e322020 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	supra selar arachnoid cyst neuroendoscopy pediatric neurosurgery Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	supra selar arachnoid cyst neuroendoscopy pediatric neurosurgery Pediatrics RJ1-570 Surgery RD1-811 Leo Gordiano Matias Fernando Luís Maeda Humberto Belem de Aquino Enrico Ghizoni Endoscopic approach of suprasellar arachnoid cyst
description	A male 3-year-old child was referred to our service due to increasing head size and mild headache. On physical examination, head circumference was 55 cm (bigger than 97th percentile), the child was conscious, alert and oriented to person, place, time and event, his pupils were isochoric, the light reflex was bilaterally positive, eye movements showed a slight palsy on the abduction of the left eye, and a partial vision loss on the left eye was detected. Gait was also impaired. MRI presented a cystic lesion in the suprasellar region suggesting arachnoid cyst, associated with hydrocephalus. An endoscopic ventricular approach was performed through a straight incision over Kocher’s point. The cyst was easily identified, coagulated with cautery and incised with endoscopic scissors. A ball-valve mechanism was well visualized. Prepontine cistern was also sharply opened and the whole cyst wall was coagulated. The patient was discharged on the second postoperative day showing a clinical improvement. Late head CT presented also a radiologic improvement.
format	article
author	Leo Gordiano Matias Fernando Luís Maeda Humberto Belem de Aquino Enrico Ghizoni
author_facet	Leo Gordiano Matias Fernando Luís Maeda Humberto Belem de Aquino Enrico Ghizoni
author_sort	Leo Gordiano Matias
title	Endoscopic approach of suprasellar arachnoid cyst
title_short	Endoscopic approach of suprasellar arachnoid cyst
title_full	Endoscopic approach of suprasellar arachnoid cyst
title_fullStr	Endoscopic approach of suprasellar arachnoid cyst
title_full_unstemmed	Endoscopic approach of suprasellar arachnoid cyst
title_sort	endoscopic approach of suprasellar arachnoid cyst
publisher	Brazilian Society for Pediatric Neurosurgery
publishDate	2020
url	https://doaj.org/article/92d0d4dc4a064bf28212acca127eaad5
work_keys_str_mv	AT leogordianomatias endoscopicapproachofsuprasellararachnoidcyst AT fernandoluismaeda endoscopicapproachofsuprasellararachnoidcyst AT humbertobelemdeaquino endoscopicapproachofsuprasellararachnoidcyst AT enricoghizoni endoscopicapproachofsuprasellararachnoidcyst
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Endoscopic approach of suprasellar arachnoid cyst

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