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Endoscopic treatment of mesencephalic ependymal cysts: technical case report
E van Lindert1, N Hopf, A Perneczky
1Neurosurgical Department, Johannes Gutenberg University, Mainz, Germany.
Objective:
To evaluate the results of different neuroendoscopic surgical procedures for the treatment of mesencephalic ependymal cysts.
Methods:
The clinical records of five patients treated for symptomatic mesencephalic ependymal cysts were retrospectively studied. Two patients had been operated on using an endoscope-assisted microsurgical technique and three patients using a pure endoscopic procedure.
Results:
Adequate fenestration of the cysts was achieved in all of the patients. Two of the patients were symptom-free, and the other three had improved significantly after a mean follow-up duration of 14 months. There was no surgical morbidity.
Conclusion:
Mesencephalic ependymal cysts can be treated adequately, resulting in a low morbidity rate, using neuroendoscopy or endoscope-assisted microsurgery. This specific surgical technique is presented.