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ORIGINAL RESEARCH article

Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1518422
This article is part of the Research Topic Innovations in Pediatric Neurosurgery: Techniques and Outcomes View all articles

Efficacy and safety of endoscopic fenestration for treating giant middle cranial fossa arachnoid cysts in pediatrics

Provisionally accepted
Huachao Guo Huachao Guo 1Zhen Ma Zhen Ma 2*Jinliang Yu Jinliang Yu 1Tao Li Tao Li 1*Liujian Dong Liujian Dong 1*Shubin Feng Shubin Feng 1*Yushe Wang Yushe Wang 3*Qiang Lv Qiang Lv 1*
  • 1 Department of Neurosurgery,Children’s Hospital Affiliated to Zhengzhou University，Henan Children’s Hospital，Zhengzhou Children’s Hospital, Zhengzhou, China
  • 2 Henan University, Kaifeng, Henan Province, China
  • 3 Henan Provincial People's Hospital, Zhengzhou, Henan Province, China

The final, formatted version of the article will be published soon.

    Objective: A middle cranial fossa is a well-recognized location for an intracranial arachnoid cyst in children. Giant middle fossa arachnoid cysts (GMFACs) can compress brain tissue, leading to rupture and potentially developing a subdural hygroma or hematoma. With recent advancements in neuroendoscopic technology, neuroendoscopic treatments have increasingly been used for middle fossa cysts. However, the risk of subdural effusion or hematoma is higher postoperatively, and the treatment for subdural effusion remains inconclusive. This study aimed to explore the safety and efficacy of this technology by evaluating the clinical and radiological outcomes of endoscopic fenestration for these cysts.

    Keywords: Middle fossa arachnoid cysts, Endoscopic fenestration, Pediatric Neurosurgery, Giant arachnoid cyst, Surgical outcomes in children

    Received: 28 Nov 2024; Accepted: 03 Feb 2025.

    Copyright: © 2025 Guo, Ma, Yu, Li, Dong, Feng, Wang and Lv. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Zhen Ma, Henan University, Kaifeng, 475001, Henan Province, China
    Tao Li, Department of Neurosurgery,Children’s Hospital Affiliated to Zhengzhou University，Henan Children’s Hospital，Zhengzhou Children’s Hospital, Zhengzhou, China
    Liujian Dong, Department of Neurosurgery,Children’s Hospital Affiliated to Zhengzhou University，Henan Children’s Hospital，Zhengzhou Children’s Hospital, Zhengzhou, China
    Shubin Feng, Department of Neurosurgery,Children’s Hospital Affiliated to Zhengzhou University，Henan Children’s Hospital，Zhengzhou Children’s Hospital, Zhengzhou, China
    Yushe Wang, Henan Provincial People's Hospital, Zhengzhou, 450000, Henan Province, China
    Qiang Lv, Department of Neurosurgery,Children’s Hospital Affiliated to Zhengzhou University，Henan Children’s Hospital，Zhengzhou Children’s Hospital, Zhengzhou, China

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