{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:51:40Z","timestamp":1786125100388,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND AND IMPORTANCE<\/jats:title>\n                    <jats:p>A direct transcondylar approach to treat symptomatic arachnoid cysts of the hypoglossal canal has not yet been described in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CLINICAL PRESENTATION<\/jats:title>\n                    <jats:p>Here, we present a skull base approach in 2 female patients (68 and 38 yr) with progressive dysphagia, dysarthria, half-sided weakness, and atrophy of the tongue due to an arachnoid cyst of the hypoglossal canal. After patient informed consent, both patients were successfully operated on without complications using a transcondylar approach, and their symptoms improved 3 mo after surgery; in both patients, resection of the cyst was confirmed using magnetic resonance imaging. Review of the literature revealed 4 surgically treated cases of hypoglossal cysts operated on through a paramedian suboccipital craniotomy from a medial to lateral surgical corridor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>This is the first description of the transcondylar surgical approach to safely operate on symptomatic arachnoid cysts located in the hypoglossal canal. The isolated transcondylar approach is useful in selective cases when the pathology is located within the hypoglossal canal only and the skull base anatomy allows a direct approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opx117","type":"journal-article","created":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T04:39:45Z","timestamp":1494909585000},"page":"E23-E25","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["The Transcondylar Approach to Access Symptomatic Arachnoid Cysts of the Hypoglossal Canal"],"prefix":"10.1227","volume":"14","author":[{"given":"Jan-Karl","family":"Burkhardt","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital Zurich, University of Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Bal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Zurich, University of Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian Christoph","family":"Neidert","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Zurich, University of Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Bozinov","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Zurich, University of Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,2]]},"reference":[{"issue":"4","key":"bib1-20240909","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1007\/s00415-016-8035-1","article-title":"Prevalence and symptoms of intracranial arachnoid cysts: a population-based study","volume":"263","author":"Rabiei","year":"2016","journal-title":"J Neurol"},{"issue":"5","key":"bib2-20240909","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1227\/NEU.0000000000001100","article-title":"Surgical decompression of arachnoid cysts leads to improved quality of life: a prospective study","volume":"78","author":"M\u00f8rkve","year":"2016","journal-title":"Neurosurgery"},{"issue":"1","key":"bib3-20240909","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/0303-8467(91)90013-F","article-title":"Posterior fossa arachnoid cyst presenting with an isolated twelfth nerve paresis. case report and review of the literature","volume":"93","author":"Cartwright","year":"1991","journal-title":"Clin Neurol Neurosurg"},{"issue":"1","key":"bib4-20240909","doi-asserted-by":"crossref","first-page":"205","DOI":"10.3171\/jns.2002.97.1.0205","article-title":"Hemilingual spasm: a new neurosurgical entity? Case report","volume":"97","author":"De Ridder","year":"2002","journal-title":"J Neurosurg"},{"issue":"5","key":"bib5-20240909","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1080\/02688699908540625","article-title":"An arachnoid cyst involving only the hypoglossal nerve: case report and review of the literature","volume":"13","author":"Ryu","year":"1999","journal-title":"Br J Neurosurg"},{"issue":"4","key":"bib6-20240909","doi-asserted-by":"crossref","first-page":"528","DOI":"10.3109\/02688697.2013.841851","article-title":"Twelfth nerve paresis induced by an unusual posterior fossa arachnoid cyst: case report and literature review","volume":"28","author":"Tarantino","year":"2014","journal-title":"Br J Neurosurg"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/14\/2\/E23\/30195186\/opx117.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/01787389-201802000-00026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:50:17Z","timestamp":1786121417000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01787389-201802000-00026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,16]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opx117","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,16]]},"assertion":[{"value":"2016-10-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-04-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}