ABSTRACT
Objective To summarize the clinical experience of the temporal arachnoid cysts in children with cysto-peritoneal shunt.Methods The clinical data of 16 patients from June 2009 to August 2012 of children with the temporal arachnoid cysts taken by cysto-peritoneal shunt were analyzed retrospectively .The surgical procedure and prognosis were also analyzed .Results Sixteen ca-ses of follow-up from 2 to 30 months after surgery showed 5 cases of preoperative symptoms disappeared .After surgery of 6 months, the head computed tomography (CT) showed 4 cysts disappeared (25.0%), 12 cysts shrink (75.0%), reduced >50%in 9 cases, and reduced 50%in 4 cases, and reduced <50%in 1 cases.1 case after surgery of 2 months with head CT showed the cysts shrink and had left frontal subdural effusion;Two years later the cranial CT scan showed the cysts disappeared and the left frontal subdural effusion absorption . No serious complications and infections were observed .Conclusions Cysto-peritoneal shunt might be a safe and effective method to treat intracranial temporal arachnoid cysts in children and had good prognosis .
ABSTRACT
Cerebral vasospasm is a common serious complication after subarachnoid hemorrhage, and is one of the main reasons of morbidity and mortality in patients suffering from subarachnoid hemorrhage. However, However, its pathogenesis has not yet been fully elucidated. Recent studies have suggested that apoptosis plays an important role in the mechanism of cerebral vasospasm. Further study of the apoptotic mechanism of cerebral vasospasm following subarachnoid hemorrhage has important significance for the optimization of therapeutic schemes in clinical conditions.