Endoscopic endonasal management of sellar/suprasellar arachnoid cysts: tailored surgical strategies and systematic review.
J Clin NeurosciJun 1, 2026 (epub)
Ayse Uzuner, Eren Yilmaz, Aykut Gokbel et al.
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In 30 seconds
This study evaluated the endoscopic endonasal approach (EEA) for managing symptomatic sellar and suprasellar arachnoid cysts (SACs) in 18 patients with a median follow-up of 49 months. The results indicated that all patients experienced headache relief, and hyperprolactinemia resolved universally. The study is a retrospective review integrated with a systematic literature review.
Key findings
- Headaches improved in all patients, with visual function improving or stabilizing in every case.
- Hyperprolactinemia resolved universally among the patients treated.
- One asymptomatic radiological recurrence (5.5%) was observed during follow-up.
- Two patients developed postoperative CSF rhinorrhea after extended fenestration.
Why it matters
The findings underscore the effectiveness of EEA in alleviating symptoms associated with SACs, highlighting the importance of individualized surgical strategies based on anatomical considerations. This approach may enhance patient outcomes and inform clinical decision-making.