Management of Fourth Ventricle Arachnoid Cyst Using Open Suboccipital Craniectomy and Marsupialisation at a Tertiary Hospital – Case Report
Keywords:
fourth ventricle arachnoid cyst, suboccipital craniectomy, fenestration and marsupilisationAbstract
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.
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.
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