Management of Fourth Ventricle Arachnoid Cyst Using Open Suboccipital Craniectomy and Marsupialisation at a Tertiary Hospital – Case Report

Authors

Keywords:

fourth ventricle arachnoid cyst, suboccipital craniectomy, fenestration and marsupilisation

Abstract

Background: Fourth ventricular arachnoid cysts are rare, often presenting with symptoms of raised intracranial pressure or brainstem compression. Case Presentation: A 41-year-old male with a six-month history of headaches and difficulty walking was diagnosed with a fourth ventricular arachnoid cyst causing obstructive hydrocephalus. He underwent suboccipital craniotomy with marsupialisation, leading to successful decompression and symptom resolution. Conclusion: Suboccipital craniotomy with marsupialisation is an effective and safe approach for managing symptomatic fourth ventricular arachnoid cysts, ensuring long-term relief and preventing recurrence.

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Author Biographies

  • Simon Kaguri Kanji, Kenyatta National Hospital

    Qualified neurosurgeon at the Kenyatta National Hospital

  • Michael KIOKO KIVUVA, machakos level 5 hospital

    qualified neurosurgeon at machakos level 5

References

Al-Holou WN, Terman S, Kilburg C, et al. Prevalence and natural history of arachnoid cysts in children. J Neurosurg Pediatr. 2010;5(6):578-85.

Wester K. Intracranial arachnoid cysts in adults: experience with 46 patients. Acta Neurochir (Wien). 1993;120(1-2):96-9.

Kasper EM, Zavras N, Mihalakis M, et al. Microsurgical treatment of arachnoid cysts in children and adults: results and complications. Acta Neurochir (Wien). 2009;151(12):1597-604.

Helland CA, Wester K. A population study of intracranial arachnoid cysts: clinical and neuroimaging outcomes. J Neurosurg. 2007;107(5):832-9.

Uddanapali SS, Radhi L,Posterior fossa arachnoid cyst in adults:surgical strategy:case series. Asian journal of neurosurgery 2015 Jan-Mar;10(1):47

Kivelev J, Niemelä M, Kivisaari R, et al. Microsurgical treatment of symptomatic intracranial arachnoid cysts. Acta Neurochir (Wien). 2011;153(10):1977-83.

Jallo GI, Woo HH, Epstein F. Endoscopic third ventriculostomy. Neurosurgery. 1996;39(2):392-7.

Schroeder HW, Nehlsen M, Gaab MR. Endoscopic treatment of arachnoid cysts. Acta Neurochir (Wien). 1998;140(6):587-94.

Rengachary SS, Watanabe I, Brackett CE. Pathogenesis of intracranial arachnoid cysts. Surg Neurol. 1978;9(3):139-44.

Additional Files

Published

19-07-2025

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Section

Case reports

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How to Cite

1.
Management of Fourth Ventricle Arachnoid Cyst Using Open Suboccipital Craniectomy and Marsupialisation at a Tertiary Hospital – Case Report. EAJNS [Internet]. 2025 Jul. 19 [cited 2026 Feb. 11];4(2):127-30. Available from: https://theeajns.org/index.php/eajns/article/view/264