ArticleNeurosurgical review2021
Suprasellar arachnoid cysts: systematic analysis of 247 cases with long-term follow-up.
Article in Neurosurgical review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- Endoscopic treatment methods of suprasellar arachnoid cysts in children: A systematic review and meta-analysis.Neurosurgical review · 2025Pooled it
- Bobble-head doll syndrome and Suprasellar Arachnoid cyst: A rare experience and systematic literature review.Neurosurgical review · 2025Pooled it
- Intracranial drainage versus extracranial shunt in the treatment of intracranial arachnoid cysts: a meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Pooled it
- Technical nuances of endoscopic transcortical transventricular fenestration for management of giant suprasellar arachnoid cysts in adults: illustrative cases.Journal of neurosurgery. Case lessons · 2026Article
- Outcomes of neuroendoscopy for suprasellar arachnoid cysts: a single center experiences.BMC pediatrics · 2024Article
- Classification of the relationship between suprasellar arachnoid cyst and hydrocephalus based on treatment modalities: shunting versus neuroendoscopic approaches.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- The prepontine block and its relevance for the development and treatment of hydrocephalus.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Surgical treatment of interhemispheric arachnoid cysts.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Prenatal dispositions and genetic analysis of monozygotic female twins with suprasellar cysts and hydrocephalus: A case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Evaluation of surgical treatment strategies and outcome for cerebral arachnoid cysts in children and adults.Acta neurochirurgica · 2024Article
- Clinical value of classification in the treatment of children with suprasellar arachnoid cysts.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- Predictors for the clinical prognosis of sylvian arachnoid cysts in children.Frontiers in pediatrics · 2023Article
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7 authors at 2 institutions in 1 country.
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Abstract
At present, limited data exists to discuss the characteristics of suprasellar arachnoid cysts (SACs). The aim of this study is to elucidate the relationship between characteristics of cysts and outcomes, quantitatively analyze improvement in hydrocephalus, and evaluate the risk factors for the prognosis of SACs treated by endoscope. From June 2002 to 2017 December, 247 cases of SACs treated by endoscope in Beijing Tiantan Hospital were included in this study. The severity of hydrocephalus was evaluated by Evans' index (EI). The results showed that the slit-valve and the transparent/thin membrane were noted in 86.2% and 76.5% of overall patients, respectively, and the distribution differences among age-groups were statistically significant (p < 0.01). After a mean follow-up duration of 73.1 months, 18 patients underwent a reoperation. Ventriculocystostomy (VC) (hazard ratio (HR), 3.37; 95% confidence interval (CI), 1.2-9.47; p = 0.024) and history of treatment (HR, 3.98; 95% CI, 1.31-12.31; p = 0.015) were adverse factors for reoperation rate. MRI at 1-year follow-up revealed mean decreases of 78.4% and 9.13% in cyst size and EI. No paraventricular edema was an adverse factor associated with the improvement in hydrocephalus (HR, 11.22; 95% CI, 5.43-23.18; p < 0.01). These results indicated that ventriculocystocisternostomy (VCC) and no history of treatment is favorable factors for prognosis of SACs treated by endoscope. If feasible, VCC is the optimal choice for SACs. Slit-valve phenomenon and transparent/thin membrane are correlated with age but did not influence the outcomes of endoscopic fenestration. The mechanism for the expansion of cysts may be different between child and adult patients. Paraventricular edema is a favorable factor for the improvement in hydrocephalus after endoscopic surgery.
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