Türk Nöroşirürji Dergisi 2007 , Vol 17 , Num 2
Prepontine Arachnoid Cyst: A Case Report
A. Özcan BİNATLI1, Volkan ZİNCİRCİOĞLU2, Erel ULUĞ3, İlker ÖZHAN4, Nurcan ÖZDAMAR5
1,2,3,4S.B. İzmir Tepecik Eğitim ve Araştırma Hastanesi Beyin ve Sinir Cerrahisi Kliniği, İzmir
5Ege Üniversitesi Tıp Fakültesi, Hastanesi Nöroşirürji Anabilim Dalı, İzmir
Prepontine or suprasellar arachnoid cysts are rare developmental anomalies that occur almost exclusively in children. There are several theories regarding the genesis of prepontine or suprasellar arachnoid cysts. However, controversy continues over what mechanisms are involved in the formation of the cysts. The natural history of asymptomatic prepontine or suprasellar arachnoid cysts are unknown. Prepontine or suprasellar arachnoid cysts are uncommon in clinical practice and experience in their management may therefore be limited. Symptomatic cysts usually present with features of hydrocephalus due to obstruction of the third ventricle and aqueduct. The symptomatic child typically suffers from hydrocephalus, visual impairment, endocrine dysfunction and/or cranial neuropathies. Several treatment techniques have been used including stereotactic aspiration, microsurgical excision and shunting, but the best method of treatment remains unclear and the role of endoscopy is not yet established. A 2-year-old male with prepontine arachnoid cyst was treated with microsurgical cystocistenostomy procedure. Anahtar Kelimeler : Arachnoid cyst, Cystocistenostomy, Prepontine