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J Neurol Surg A Cent Eur Neurosurg 2017; 78(02): 210-215
DOI: 10.1055/s-0035-1571161
Case Report

Transfrontal Transaqueductal, Transtrigonal, and Suboccipital Infratentorial Supracerebellar Endoscopic Fenestration of Posterior Fossa Arachnoid Cysts: Three Surgical Cases

Zamzuri Idris
1   Department of Neurosciences, Center for Neuroscience Service and Research, University Sciences Malaysia, Kelantan, Malaysia
,
Yew Chin Tan
1   Department of Neurosciences, Center for Neuroscience Service and Research, University Sciences Malaysia, Kelantan, Malaysia
,
Regunath Kandasamy
1   Department of Neurosciences, Center for Neuroscience Service and Research, University Sciences Malaysia, Kelantan, Malaysia
,
Rahman Izaini Ghani
1   Department of Neurosciences, Center for Neuroscience Service and Research, University Sciences Malaysia, Kelantan, Malaysia
,
Jafri Malin Abdullah
1   Department of Neurosciences, Center for Neuroscience Service and Research, University Sciences Malaysia, Kelantan, Malaysia
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Abstract

Symptomatic intracranial arachnoid cysts are commonly treated using neuroendoscopy. Cysts located within the posterior fossa may present a greater surgical challenge to the neurosurgeon due to the numerous vital neurovascular structures located within this confined space. Adding neuronavigation during endoscopy helps a neurosurgeon to visualize and utilize both anterior and posterior corridors safely to access and manage these lesions. We present three symptomatic posterior fossa arachnoid cysts that were treated successfully using minimally invasive neuronavigation-guided endoscopic neurosurgery utilizing the anterior transfrontal transaqueductal, anterior transfrontal transtrigonal, and posterior suboccipital infratentorial supracerebellar approaches.

Keywords

endoscopy - arachnoid cysts - posterior fossa - transtrigonal - supracerebellar


Publication History

Received: 07 August 2015

Accepted: 22 October 2015

Publication Date:
11 March 2016 (online)

© 2016. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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