{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:06:38Z","timestamp":1740107198351,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001792","name":"James Cook University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001792","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Arachnoid cysts are relatively common, but rarely require intervention. While most arachnoid cysts in typical middle or posterior cranial fossa locations are seldom symptomatic, suprasellar cysts may become symptomatic due to the potential for ventricular outflow obstruction and hydrocephalus. Typical standard of care for the treatment of these lesions is endoscopic fenestration with third ventriculostomy, or the placement of ventriculoperitoneal or cystoperitoneal shunts. The surgical and anaesthetic risks of traditional interventions may be higher in the early neonatal period, including leak of cerebrospinal fluid, infection, and premature failure of ventriculostomy or shunts. This note describes a novel bedside ultrasound-guided technique to percutaneously fenestrate large suprasellar arachnoid cysts under local anaesthesia. The technique involves insertion of a 25-g spinal needle until contact with the membrane of the arachnoid cyst medially, followed by a lateral sweeping to widely incise\/fenestrate the lesion into the ventricular space under continuous ultrasound visualisation. This note describes an example case which demonstrates durable radiological and clinical improvement after 2\u00a0years of follow-up. This may represent a management option to temporise, or perhaps definitively manage suprasellar arachnoid cysts in the neonatal period.<\/jats:p>","DOI":"10.1007\/s00381-024-06560-z","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T03:36:56Z","timestamp":1723606616000},"page":"4279-4282","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Technical note: durable resolution of hydrocephalus after ultrasound-guided percutaneous fenestration of giant suprasellar arachnoid cyst in a neonate"],"prefix":"10.1007","volume":"40","author":[{"given":"Michael J.","family":"Stuart","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Yoon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"McEniery","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amelia J.","family":"Jardim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Vonhoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"6560_CR1","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/j.ejpn.2014.12.008","volume":"19","author":"B De Keersmaecker","year":"2015","unstructured":"De Keersmaecker B, Ramaekers P, Claus F, Witters I, Ortibus E, Naulaers G, Van Calenbergh F, De Catte L (2015) Outcome of 12 antenatally diagnosed fetal arachnoid cysts: case series and review of the literature. Eur J Paediatr Neurol 19:114\u2013121","journal-title":"Eur J Paediatr Neurol"},{"key":"6560_CR2","doi-asserted-by":"publisher","first-page":"e316","DOI":"10.1016\/j.wneu.2020.05.122","volume":"141","author":"KA Kelly","year":"2020","unstructured":"Kelly KA, Sherburn MM, Sellyn GE, Ahluwalia R, Foster J, Shannon CN, Bonfield CM (2020) Management of suprasellar arachnoid cysts in children: a systematic literature review highlighting modern endoscopic approaches. World Neurosurg 141:e316\u2013e323","journal-title":"World Neurosurg"},{"key":"6560_CR3","doi-asserted-by":"publisher","first-page":"324","DOI":"10.3171\/2017.4.PEDS16488","volume":"20","author":"AL Bowes","year":"2017","unstructured":"Bowes AL, King-Robson J, Dawes WJ, James G, Aquilina K (2017) Neuroendoscopic surgery in children: does age at intervention influence safety and efficacy? A single-center experience. J Neurosurg Pediatr 20:324\u2013328","journal-title":"J Neurosurg Pediatr"},{"key":"6560_CR4","first-page":"417","volume":"33","author":"LH Verhey","year":"2024","unstructured":"Verhey LH, Kulkarni AV, Reeder RW, Riva-Cambrin J, Jensen H, Pollack IF, Rocque BG, Tamber MS, McDonald PJ, Krieger MD, Pindrik JA, Hauptman JS, Browd SR, Whitehead WE, Jackson EM, Wellons JC, Hankinson TC, Chu J, Limbrick DD, Strahle JM, Kestle JRW, Hydrocephalus Clinical Research N (2024) A re-evaluation of the endoscopic third ventriculostomy success score: a hydrocephalus clinical research network study. J Neurosurg Pediatr 33:417","journal-title":"J Neurosurg Pediatr"},{"key":"6560_CR5","doi-asserted-by":"publisher","first-page":"3541","DOI":"10.1007\/s00381-021-05272-y","volume":"37","author":"A Schaumann","year":"2021","unstructured":"Schaumann A, Buhrer C, Schulz M, Thomale UW (2021) Neuroendoscopic surgery in neonates - indication and results over a 10-year practice. Childs Nerv Syst 37:3541\u20133548","journal-title":"Childs Nerv Syst"},{"key":"6560_CR6","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1007\/s00381-013-2032-9","volume":"29","author":"E Rizk","year":"2013","unstructured":"Rizk E, Chern JJ, Tagayun C, Tubbs RS, Hankinson T, Rozzelle C, Oakes WJ, Blount JP, Wellons JC (2013) Institutional experience of endoscopic suprasellar arachnoid cyst fenestration. Childs Nerv Syst 29:1345\u20131347","journal-title":"Childs Nerv Syst"},{"key":"6560_CR7","first-page":"370","volume":"36","author":"A Pierre-Kahn","year":"1990","unstructured":"Pierre-Kahn A, Capelle L, Sainte-Rose C, Renier D, Hoppe-Hirsch E, Hirsch JF (1990) Treatment of suprasellar arachnoid cysts by percutaneous transfrontal ventriculocystostomy. Apropos of a series of 17 cases. Neurochirurgie 36:370\u2013377","journal-title":"Neurochirurgie"}],"container-title":["Child's Nervous System"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-024-06560-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00381-024-06560-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-024-06560-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T09:46:47Z","timestamp":1732096007000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00381-024-06560-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,14]]},"references-count":7,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["6560"],"URL":"https:\/\/doi.org\/10.1007\/s00381-024-06560-z","relation":{},"ISSN":["0256-7040","1433-0350"],"issn-type":[{"type":"print","value":"0256-7040"},{"type":"electronic","value":"1433-0350"}],"subject":[],"published":{"date-parts":[[2024,8,14]]},"assertion":[{"value":"21 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The use of the example case to illustrate this technique is endorsed by the Children\u2019s Health Queensland human research ethics committee, and with the informed written consent of the patient\u2019s family.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}