Arachnoid Cyst Management In Children

To develop the concept of the personalized diagnostics and neurosurgical treatment of the intracranial arachnoid cysts (IAC) in children Results of diagnostic and treatment of 804 children aged 1–17y.o. were analyzed in 2 groups: with 1gr.- hydrocephaly, 2gr.- intracranial arachnoid cysts. The most part (57.5%) were in the age up to 3 years, the most frequent - till 1 year. The clinic, disease dynamics, outcome of treatment IAC and monitoring of the amplitude-frequency characteristics of liquid pressure fluctuation, the reserved subdural volume, deformations of a brain and ventricles, researches of biomechanical properties, pressure were carried out There were 116 children with IAC in 2gr. Hypertension syndrome (47.4%), focal symptoms of damage of the nervous system (52.5%) and remitting type (86.2%) were typical for children with IAC. The structure and expressiveness of manifestations IAC depended from the volume of local congestion of liquid, craniocerebral disproportion. The main directions of preoperative diagnostics were: the assessment of expressiveness and clinical manifestations, morphometry and biomechanical properties. Unsatisfactory results were caused by permanent resorption frustration in 19.8%. Informative criteria of an outcome were: the age, anatomic-topographical features, dissociation level, cavities deformation expressiveness and forecast of probable postoperative complications. Summary.Priority methods directed to elimination of the prime cause of liquor current violation and deformations of the brain should be used in the management of the intraсranial araсnoid cysts in children.