COMPARATIVE STUDY BETWEEN MICROSCOPIC AND ENDOSCOPIC SURGERY IN INTRACRANIAL ARACHNOID CYSTS
*Dr. Md. Moshiur Rahman, Dr. S.I.M. Khairun Nabi Khan, Dr. Robert Ahmed Khan, Dr. Md. Rokibul Islam, Dr. K. M. Ziaur Rahman and Prof. Mainul Haque Sarker
Background: Endoscopic or microscopic management for patient of intracranial arachnoid cysts are a surgeons choice and according to availability. Depending on the location of the cyst the surgeon may choose the procedure. Cortical cysts are challenging. Endoscopic fenestrations are less invasive and patients choice though the outcome is similar in both procedures. Objective: The main objective of this study is to compare the surgical outcome of endoscopic and microscopic management of intracranial arachnoid cysts. Method: A total 28 patients were studied retrospectively from 2009 to 2017 in private hospitals Dhaka, Bangladesh. The male and female ratio was 3:2. Both groups carry equal number of patients (14). [Endoscopic and microscopic] Results: Over 85% patients had satisfactory recovery. One patient required epilepsy surgery unrelated to cyst. Higher success rate in endoscopic procedure is noted. Sylvian cysts are most common in both groups. Conclusion: Both microscopic and endoscopic procedures are safe in intracranial arachnoid cysts. Endoscopic fenestration is less traumatic and gives better result though the outcome of surgery is almost similar.
Keywords: Microscopic, Endoscopic, Intracranial, Fenestration, Arachnoid.
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