Universität zu Köln

Juenger, Stephanie T., Knerlich-Lukoschus, Friederike, Roehrig, Andreas, Al Hourani, Jasmin, Kunze, Sandra, Eberle, Julia, Oelkers, Peter and Messing-Juenger, Martina (2022). Clinical variety and prognosis of intracranial arachnoid cysts in children. Neurosurg. Rev., 45 (5). S. 3171 - 3179. NEW YORK: SPRINGER. ISSN 1437-2320

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Abstract

Arachnoid cysts (AC) occur in different intracranial locations. Management and prognosis depend on the clinical presentation and treatment guidelines do not exist. With this study, we want to demonstrate the clinical variety of arachnoid cysts in children and place a focus on outcome factors in operated cases. This retrospective study of a consecutive single unit series of children, who underwent AC surgery between January 2010 and September 2019, provides demographic, clinical, imaging data, and information about surgical treatment and outcome. Overall, 63 patients (71.4 male) underwent surgery. Mean age was 50 months (0-191). Mean follow-up was 40 months (0-121). Eighty-one percent of patients presented with symptoms/signs of raised ICP. Focal neurological deficits were present in 15.9%, headache in 11.1% of children. Galassi cysts represented the predominant type (30.2%), followed by suprasellar (14.3%), quadrigeminal (12.7%), retrocerebellar, CPA and midline (each 11.1%), and hemispheric cysts (7.9%). Endoscopic and microsurgical fenestrations were performed in 27% and 58.7%, stent or shunt insertion in 6.3%/57.9% of the cases. In 33.3% of the cases one and in 12.7%, a second reintervention became necessary. Reoperation rate was significantly higher in children <1 year (p = 0.003). Cyst volume decreased in 85.7%. Seventy percent of the patients were symptom free, 5% suffered from headache, and 22% from developmental disorders. All focal neurological symptoms resolved. Complication rate and outcome are depending on age and cyst location. Recurrence and revision rates are significantly higher in young infants (p = 0.003). Midline cysts with CCA are associated with developmental disorders.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Juenger, Stephanie T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Knerlich-Lukoschus, Friederike UNSPECIFIED UNSPECIFIED UNSPECIFIED Roehrig, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Al Hourani, Jasmin UNSPECIFIED UNSPECIFIED UNSPECIFIED Kunze, Sandra UNSPECIFIED UNSPECIFIED UNSPECIFIED Eberle, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Oelkers, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Messing-Juenger, Martina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-671530
DOI:	10.1007/s10143-022-01809-0
Journal or Publication Title:	Neurosurg. Rev.
Volume:	45
Number:	5
Page Range:	S. 3171 - 3179
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-2320
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Clinical Neurology; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67153