Arachnoid Cyst: Dr. Jho's Endoscopic Brain Surgery, Minimally Invasive Arachnoid Cyst surgery

Arachnoid Cyst: Dr. Jho's Endoscopic Brain Surgery, Minimally Invasive Arachnoid Cyst surgery

Dr. Jho's Endoscopic Fenestration of Cranial Arachnoid Cysts

Professor & Chair, Department of Neuroendoscopy

Jho Institute for Minimally Invasive Neurosurgery

Dr. Jho performs endoscopic fenestration via a small incision for cerebral arachnoid systs. When an arachnoid cyst produces symptoms, a surgical treatment has to be considered. Conventional surgery has been shunt placement into the cyst in order to drain the cystic fluid into the abominal cavity. Alternative treatment is endoscopic fenestraton of the cyst so that the cystic fluid can drain into the cerebrospinal fluid pathway.

Figure 1. A patient with a left temporal arachnoid cyst developed headaches and right sided weakness. Preoperaive MR scan, coronal view, shows an arachnoid cyst at the left temporal region (a black cavity) with brain shift to the right (A). Postoperative MR scan, coronal view, reveals reduction of the cyst fluid (black cavity) and return of the lateral ventricles to normal shape (two triangular black shadows at the upper center) (B). Intraoperative photographs show endoscopic view of the cystic wall (C) and wide fenestration of the cystic membrane (D). The operation was performed under the endoscopic visualization via a two-cm incision.

For referral information or appointment for consultation contact:

Practice Manager: Robin A. Coret

e-mail : Drjho@ahn.org

Tel : (412) 359-6110

Fax : (412) 359-8339

Address : JHO Institute for Minimally Invasive Neurosurgery

Department of Neuroendoscopy

Sixth Floor, South Tower

Allegheny General Hospital

320 East North Avenue

Pittsburgh, PA 15212-4772

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Dr. Jho via e-mail Drjho@ahn.org