2025 Poster Presentations
P380: ENDOSCOPIC VENTRICULOCYSTOCISTERNOSTOMY WITH WALL RESECTION FOR RECURRENT SUPRASELLAR ARACHNOID CYST
Ryan Neill, MS1; Myra Zaheer, BA1; Peter Harris, MD2; Daniel Donoho, MD3; 1The George Washington University School of Medicine and Health Sciences; 2The George Washington University Hospital Department of Neurosurgery; 3Children's National Hospital
We present the case of a 15-month-old female with progressive head bobbing and roving eye movements who underwent ventriculocystocisternostomy three-months prior. Imaging demonstrated reenlargement of the suprasellar arachnoid cyst and absent CSF flow with early signs of obstruction, indicating need for repeat ventriculocystocisternostomy with emphasis on cyst wall resection. Direct endoscopy was utilized and post-operative imaging demonstrated good CSF communication. Follow up visit at three-months noted improvement in the patient’s symptoms and continued cyst decompression.