Resolution of a fourth ventricle epithelial cyst after ventriculoperitoneal shunting

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dc.authoridSAV, Aydin/0000-0002-7326-7801;
dc.authorwosidSAV, Aydin/ABI-3989-2020
dc.authorwosidKILINÇER, Cumhur/C-7969-2014
dc.contributor.authorTatli, Mehmet
dc.contributor.authorGuzel, Aslan
dc.contributor.authorKilincer, Cumhur
dc.contributor.authorSav, Aydin
dc.date.accessioned2024-06-12T10:59:07Z
dc.date.available2024-06-12T10:59:07Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Symptomatic cysts of epithelial origin occurring in the fourth ventricle are very rare. When such a cyst is encountered, the treatment strategy includes surgical removal or fenestration of the cyst into subarachnoid space. Case 1: A 23-year-old male was diagnosed as having a cyst located in the fourth ventricle causing hydrocephalus; the patient underwent cyst removal via craniotomy. The histopathologic diagnosis was neuroepithelial cyst. Because clinical and neuroradiological findings persisted, he underwent VP shunting. The cyst disappeared and did not recur. Case 2: A 54-year-old woman was diagnosed as having a cystic mass in the fourth ventricle and dilatation of the ventricles. Magnetic resonance imaging showed the same findings as those of the first case. The patient refused craniotomy for total mass excision. Therefore, a VP shunt was applied. Postoperatively, the clinical findings and hydrocephalus improved, and complete disappearance of the cystic mass was observed unexpectedly. Both cases had 2 years of follow-up. Conclusion: There is no proven mechanism to explain resolution of fourth ventricle cysts after a supratentorial VP shunting. We hypothesize that disappearance of the cyst could result from rupture of its wall because of pressure gradient, which might be facilitated by a VP shunt. The current report should not be taken as an argument against cyst removal, which is the established way of treatment. However, considering that the pathogenesis and pathophysiology of these cysts are unclear, VP shunting should be considered especially for recurrent cases accompanied by hydrocephalus. (c) 2007 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.surneu.2006.04.008
dc.identifier.endpage98en_US
dc.identifier.issn0090-3019
dc.identifier.issue1en_US
dc.identifier.pmid17210315en_US
dc.identifier.scopus2-s2.0-33845953987en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage94en_US
dc.identifier.urihttps://doi.org/10.1016/j.surneu.2006.04.008
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20319
dc.identifier.volume67en_US
dc.identifier.wosWOS:000243798000019en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofSurgical Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCystsen_US
dc.subjectCentral Nervous Systemen_US
dc.subjectEpendymalen_US
dc.subjectFourth Ventricleen_US
dc.subjectHydrocephalusen_US
dc.subjectEpitheliumen_US
dc.subjectNeuroepithelial Cellen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.subjectVentriculoperitoneal Shunten_US
dc.subjectCentral-Nervous-Systemen_US
dc.subjectNeuroepithelial Cystsen_US
dc.subject4th Ventricleen_US
dc.subjectPosterior-Fossaen_US
dc.subjectArachnoid Cysten_US
dc.subjectPathological Correlationen_US
dc.subjectEnterogenous Cystsen_US
dc.subjectNeurenteric Cysten_US
dc.subjectMren_US
dc.subjectHydrocephalusen_US
dc.titleResolution of a fourth ventricle epithelial cyst after ventriculoperitoneal shuntingen_US
dc.typeArticleen_US

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