Intracranial arachnoid cyst fenestration

Craniotomy and fenestration of membranes is one of the main treatment options for symptomatic intracranial arachnoid cysts. Open surgery advantages include, direct inspection of the cyst, biopsy sampling, fenestration in multilocular cysts and, in certain locations, cyst communication to basal cisterns 1).

Options

Neuroendoscopic fenestrations.

Microsurgical fenestrations +/- marsupialisation

1)
Saura Rojas JE, Horcajadas Almansa Á, Ros López B. [Microsurgical treatment of intracraneal arachnoid cysts]. Neurocirugia (Astur). 2015 Apr 16. pii: S1130-1473(15)00029-9. doi: 10.1016/j.neucir.2015.02.006. [Epub ahead of print] Spanish. PubMed PMID: 25891259.