Suprasellar Cysts: Clinical Presentation, Surgical Indications, and Optimal Surgical Treatment

Overview

Journal BMC Neurol

Publisher Biomed Central

Specialty Neurology

Date 2011 May 19

PMID 21586175

Citations 14

Authors

Song-Bai Gui

Xin-Sheng Wang

Xu-Yi Zong

Ya-Zhuo Zhang

Chu-Zhong Li

Affiliations

Soon will be listed here.

Abstract

Background: To describe the clinical presentation of suprasellar cysts (SSCs) and surgical indications, and compare the treatment methods of endoscopic ventriculocystostomy (VC) and ventriculocystocisternotomy (VCC).

Methods: We retrospectively reviewed the records of 73 consecutive patients with SSC who were treated between June 2002 and September 2009. Twenty-two patients were treated with VC and 51 with VCC. Outcome was assessed by clinical examination and magnetic resonance imaging.

Results: The patients were divided into five groups based on age at presentation: age less than 1 year (n = 6), 1-5 years (n = 36), 6-10 years (n = 15), 11-20 years (n = 11), and 21-53 years (n = 5). The main clinical presentations were macrocrania (100%), motor deficits (50%), and gaze disturbance (33.3%) in the age less than 1 year group; macrocrania (75%), motor deficits (63.9%), and gaze disturbance (27.8%) in the 1-5 years group; macrocrania (46.7%), symptoms of raised intracranial pressure (ICP) (40.0%), endocrine dysfunction (40%), and seizures (33.3%) in the 6-10 years group; symptoms of raised ICP (54.5%), endocrine dysfunction (54.5%), and reduced visual field or acuity (36.4%) in the 11-20 years group; and symptoms of raised ICP (80.0%) and reduced visual field or acuity (40.0%) in the 21-53 years group. The overall success rate of endoscopic fenestration was 90.4%. A Kaplan-Meier curve for long-term efficacy of the two treatment modalities showed better results for VCC than for VC (p = 0.008).

Conclusions: Different age groups with SSCs have different main clinical presentations. VCC appears to be more efficacious than VC.

Citing Articles

Outcomes of neuroendoscopy for suprasellar arachnoid cysts: a single center experiences.

Kuzucu P, Kale A, Turkmen T, Gorur E, Borcek A BMC Pediatr. 2024; 24(1):797.

PMID: 39633291 PMC: 11619261. DOI: 10.1186/s12887-024-05273-1.

Arachnoid Cyst: An Asymptomatic Exuberance.

Santos A, Viegas A, Porto L, Gomes A, Nascimento E Cureus. 2022; 14(11):e31782.

PMID: 36569705 PMC: 9775001. DOI: 10.7759/cureus.31782.

A case of hydrocephalus confounded by suprasellar arachnoid cyst and concomitant reversible cerebral vasoconstriction syndrome.

Ahmad S, Zampolin R, Brook A, Kobets A, Altschul D Surg Neurol Int. 2022; 13:331.

PMID: 36128109 PMC: 9479517. DOI: 10.25259/SNI_313_2022.

A Neuronavigation-Assisted Endoscopic Ventriculocystocisternostomy of a Suprasellar Arachnoid Cyst: A 2D Video Case Presentation.

Daggubati L, Boukerche F, Rizk E Cureus. 2021; 13(5):e14957.

PMID: 34123654 PMC: 8191644. DOI: 10.7759/cureus.14957.

Suprasellar arachnoid cysts: systematic analysis of 247 cases with long-term follow-up.

Ma G, Li X, Qiao N, Zhang B, Li C, Zhang Y Neurosurg Rev. 2021; 44(5):2755-2765.

PMID: 33409764 DOI: 10.1007/s10143-020-01455-4.

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