Multidisciplinary approach to the prenatal diagnosis and Post natal management of a large suprasellar arachnoid cyst: A case report.

Autor:	Irfan O; Medical College, The Aga Khan University, Aga Khan University Hospital, Karachi, Pakistan., Rathore HN; Section of Neonatology Department of Pediatrics Aga Khan University Hospital, Karachi, Pakistan., Karim S; Section of Neonatology Department of Pediatrics Aga Khan University Hospital, Karachi, Pakistan., Ariff S; Section of Neonatology Department of Pediatrics Aga Khan University Hospital, Karachi, Pakistan., Darbar A; Section of Neonatology Department of Pediatrics Aga Khan University Hospital, Karachi, Pakistan.
Jazyk:	angličtina
Zdroj:	JPMA. The Journal of the Pakistan Medical Association [J Pak Med Assoc] 2017 May; Vol. 67 (5), pp. 824.
Abstrakt:	Arachnoid cysts are intra-arachnoid sacs filled with cerebrospinal fluid representing a rare occurence in neonates. We report the case of a suprasellar arachnoid cyst diagnosed prenatally at 21 weeks gestation on routine obstetric ultrasound. A cystic lesion was picked up incidentally at routine antenatal scan. The cyst was noted to be increasing in size over a series of radiological scans. The cyst was diagnosed as a suprasellar arachnoid cyst compressing the third ventricle and bilateral lateral ventricles. A left pteryonal craniotomy for cystocisternostomy of large suprasellar cyst was performed initially. Within a month the cyst recurred with clinical and radiological evidence. An Endoscopic Third Ventriculostomy (ETV) with fenestration was performed.The patient was shifted to the NICU and discharged after 3 days in a stable condition. Patient was followed after 1 week and reassured and advised for one year follow-up.
Databáze:	MEDLINE
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