Aracnoid cyst 10, cisternal cisterna achnoid cyst

Occipital cisterna cyst refers to the formation of cysts in the intracranial cisterna area, which is a benign lesion, but the cyst can cause increased intracranial pressure, resulting in headache, nausea, vomiting, impaired consciousness and even coma, and may also cause cerebrospinal fluid obstruction, the main possible symptom is this. If there are obvious symptoms, surgical resection or craniocentesis can be considered to extract the cyst fluid, but the latter requires high equipment and physician skills, and may not be able to do well everywhere, so craniotomy is generally chosen. Early**!

Analysis: Hello, the traditional surgical method is to routinely craniotomy to remove part of the cyst wall, release the cyst fluid, and make the cyst cavity communicate with the cistern or subarachnoid space; or cystic ventricular, cystic peritoneal shunt. In the former, the surgical trauma is large, the postoperative recovery time is long, it is difficult to avoid various complications of craniotomy, and sometimes it is difficult for the cyst to truly communicate with the cistern or subarachnoid space. However, there are many complications of shunt surgery, such as shunt blockage, infection, etc., which lead to surgical failure, and often need to undergo secondary or even multiple surgeries, especially infants and young children, who need to adjust the shunt frequently with age.

Guidance: In recent years, neuroendoscopic technology has gradually become popular in China, and its surgical indications have been expanding, and many traditional craniotomy surgeries have been gradually replaced by minimally invasive endoscopic surgery. Endoscopic surgery has the advantages of less trauma, direct vision, fast recovery and fewer complications, and is especially suitable for intracranial cystic lesion surgery.

Endoscopic** Arachnoid cyst surgery includes endoscopic cystostomy through keyhole, endoscopic-assisted microneurosurgery, endoscopic-controlled microneurosurgery, and endoscopic-guided shunt placement.

If the occipital cisterna arachnoid cyst has an obvious mass effect, there will be symptoms such as changes in the field of visual obstruction of both eyes, headache, and cerebellar signs if there is a stool, but if it is not large, there will generally be no obvious clinical symptoms. The characteristics of the changes in vision that you are talking about are not characteristic and do not explain the problem. If it is convenient, you can come to the hospital outpatient clinic for relevant examinations.

Li Xin, the Second People's Hospital of Hunan Province.

The right frontotemporal arachnoid cyst, the right temporal lobe dysplasia, is congenital, and the right ventricle is slightly compressed. It can be checked regularly, and if the mental development is slow and the pressure on the ventricles is aggravated, it is necessary to judge the cleft surgery** Dig reputation: ventriculoscopic arachnoid cyst dissection, and shunt surgery can also be performed.

Kuang Weiping, the Second People's Hospital of Hunan Province.

Problem analysis: Hello, arachnoid brain cyst is more common in the population, if there is no trauma and other conditions, most of them are congenital. A typical arachnoid cyst does not have any symptoms.

Opinion Traveler Suggestion:

If the patient's neurological symptoms are indeed caused by a arachnoid cyst, surgery may be considered**. Shunt surgery for cysts is performed.