Endoscopic transsphenoidal cisternostomy for nonneoplastic sellar cysts

Yu-Kai Su, Yudo Ishii, Chien Min Lin, Shigeyuki Tahara, Akira Teramoto, Akio Morita

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background and Importance. Sellar arachnoid cysts and Rathke's cleft cysts are benign lesions that produce similar symptoms, including optochiasmatic compression, pituitary dysfunction, and headache. Studies have reported the use of various surgical treatment methods for treating these symptoms, preventing recurrence, and minimizing operative complications. However, the postoperative cerebrospinal fluid (CSF) fistula and recurrence rate remain significant. Clinical Presentation. In this paper, we present 8 consecutive cases involving arachnoid cysts and Rathke's cleft cysts, which were managed by using drainage and cisternostomy, the intentional fenestration of the cyst into the subarachnoid space, and then meticulously closing sellar floor using dural sutures. The postoperative images, CSF fistula rate, and the recurrence rate were favorable. Conclusion. We report this technique and discuss the benefit of this minimally invasive approach.

Original languageEnglish
Article number389474
JournalBioMed Research International
Volume2015
DOIs
Publication statusPublished - Jan 22 2015

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Microbiology(all)

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