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A Neuronavigation-Assisted Endoscopic Ventriculocystocisternostomy of a Suprasellar Arachnoid Cyst: A 2D Video Case
Lekhaj C Daggubati1, Faiza Boukerche2, Elias Rizk1
1Department of Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Abstract:
Background and Importance: Suprasellar arachnoid cysts are insidious and progressive ventricular cysts that cause hydrocephalus, ataxia, optic, and endocrinological symptoms. These cysts can be successfully treated via an endoscopic ventriculocystocisterostomy (VCC). Clinical Presentation: A three-year-old patient presented with emesis and bobble-head doll syndrome with a suprasellar arachnoid cyst. Through our video, we present our neuronavigation-assisted endoscopic VCC without cautery and the relevant neuroanatomy. Conclusion: Neuroendoscopic fenestration is a preferred approach over resection or shunting for a suprasellar arachnoid cyst. In addition, VCC has decreased recurrence and increased radiologic improvement over a ventriculocystostomy (VC).
