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KMID : 0359819940230101164
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Journal of Korean Neurosurgical Society
1994 Volume.23 No. 10 p.1164 ~ p.1171
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Management of Intracraniai Arachnoid Cysts
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조동
황용순/문재곤/김한규/이화동
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Abstract
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The authors have operated on fifteen cases of intracranial arachnoid cyst during the last 4 years. Among them, eleven cases of middle cranial fossa arachnoid cyst have undergone uniformly cystoperitoneal shunt. The craniotomy and fenestration
(open
surgery) was performed in three cases which located in quadrigeminal cistern (1 case) and harvored other combined problems (2 cases, intracystic hemorrhage and exophthalmos due to defect of lateral orbital wall respectively). A case of
intraventricular
arachnoid cyst was managed by ventriculocystostomy. All of above procedures showed good clinical and radiological results with acceptable morbidity and no mortality.
@ES With these observation, we thought as follows:
@EN 1) In middle cranial fossa cysts, cystoperitoneal shunt is sufficient as the first choice of operative intervention because it revealed good results with low morbidity and negligible complications.
2) Open surgery seems to be indicated only in deep seated cyst around brainstem where the introduction of shunt catheter is difficult and dangerous and in cyst combining other problems necessitating surgical intervention also.
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KEYWORD
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