Transventricular Endoscopic Management of a Suprasellar Arachnoid Cyst Causing Precocious Puberty
Mohamed Badri
Department of Neurosurgery, Faculty of Medicine of Tunis, Tunis El Manar University, Burns and Trauma Center, 2013 Ben Arous, Tunisia.
Sofiene Bouali *
Department of Neurosurgery, Faculty of Medicine of Tunis, Tunis El Manar University, National Institute of Neurology “Mongi Ben Hmida”, 1007 Bab Saadoun, Tunis, Tunisia.
Khansa Abderrahmen
Department of Neurosurgery, Faculty of Medicine of Tunis, Tunis El Manar University, National Institute of Neurology “Mongi Ben Hmida”, 1007 Bab Saadoun, Tunis, Tunisia.
Jalel Kallel
Department of Neurosurgery, Faculty of Medicine of Tunis, Tunis El Manar University, National Institute of Neurology “Mongi Ben Hmida”, 1007 Bab Saadoun, Tunis, Tunisia.
Kamel Bahri
Department of Neurosurgery, Faculty of Medicine of Tunis, Tunis El Manar University, Burns and Trauma Center, 2013 Ben Arous, Tunisia.
Hafedh Jemel
Department of Neurosurgery, Faculty of Medicine of Tunis, Tunis El Manar University, National Institute of Neurology “Mongi Ben Hmida”, 1007 Bab Saadoun, Tunis, Tunisia.
Ihsen Zammel
Department of Neurosurgery, Faculty of Medicine of Tunis, Tunis El Manar University, Burns and Trauma Center, 2013 Ben Arous, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
Suprasellar cysts arachnoid cysts (SSAC) are relatively uncommon making up less than 2% of all arachnoid cysts. Suprasellar arachnoid cyst causing precocious puberty is infrequent. The pathogenesis remains unknown in the majority of patients with precocious puberty. Endoscopic ventriculocystocisternostomy procedure is an effective and minimally invasive method in the treatment of these cysts.
This report describes a 7-year old male who had a huge intracranial arachnoid cyst with initial symptoms and signs of sexual precocity. Magnetic resonance image (MRI) of the brain revealed the presence of large suprasellar cystic lesion.
Keywords: Arachnoid cysts, suprasellar cysts, precocious puberty, neuroendoscopy