ReviewSurgical neurology international2021
The efficacy of cystoperitoneal shunting for the surgical management of intracranial arachnoid cysts in the elderly: A systematic review of the literature.
Review in Surgical neurology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Transanal Extrusion of a Cystoperitoneal Shunt Catheter in a Child: A Case Report and Review of the Literature.Cureus · 2026Article
- Observation of the progression of tension in intracranial arachnoid cyst: a case report and review of literature.BMC pediatrics · 2026Review
- Surgical management of complicated arachnoid cysts: A case series.International journal of surgery case reports · 2025Article
- Management of a congenital arachnoid cyst in a newborn with obstructive hydrocephalus: A multistage surgical approach and neurodevelopmental outcome.Surgical neurology international · 2025Article
- Endoscopic fenestration of an acquired arachnoid cyst causing a trapped lateral ventricle: Two-dimensional operative video.Surgical neurology international · 2025Article
- Arachnoid cyst in the quadrigeminal cistern: A case from Afghanistan.Radiology case reports · 2024Article
- Endoscopic fenestration of an enlarging giant occipital arachnoid cyst.Neurosurgical focus: Video · 2023Article
- Spontaneous rupture of an arachnoid cyst in an adult: illustrative case.Journal of neurosurgery. Case lessons · 2023Article
- Ruptured Sylvian arachnoid cysts: an update on a real problem.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Review
- Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst.Frontiers in surgery · 2022Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntracranial arachnoid cysts (AC) are benign, cerebrospinal fluid filled spaces within the arachnoid layer of the meninges. Neurosurgical intervention in children and young adults has been extensively studied, but the optimal strategy in the elderly remains unclear. Therefore, we performed a single center retrospective study combined with a systematic review of the literature to compare cystoperitoneal (CP) shunting with other surgical approaches in the elderly cohort.
methodsRetrospective neurosurgical database search between January 2005 and December 2018, and systematic review of the literature using PRISMA guidelines were performed. Inclusion criteria: Age 60 years or older, radiological diagnosis of intracranial AC, neurosurgical intervention, and neuroradiological (NOG score)/clinical outcome (COG score). Data from both sources were pooled and statistically analyzed.
resultsOur literature search yielded 12 studies (34 patients), which were pooled with our institutional data (13 patients). CP shunts (7 patients; 15%), cyst fenestration (28 patients; 60%) and cyst marsupialisation/resection (10 patients; 21%) were the commonest approaches. Average duration of follow-up was 23.6, 26.9, and 9.5 months for each approach, respectively. There was no statistically significant association between choice of surgical intervention and NOG score (
conclusionCP shunting is a safe and effective surgical treatment strategy for ACs in the elderly. It has similar clinical and radiological outcomes but superior risk profile when compared with other approaches. We advocate CP shunting as first line neurosurgical intervention for the management of intracranial ACs in the elderly.
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