Efficacy and safety of endoscopic fenestration for treating giant middle cranial fossa arachnoid cysts in pediatrics

This study analyzed the efficacy of endoscopic treatment in a predominantly treated patient cohort with GMFACs, as indicated by improved clinical symptoms and reduced radiological volume after treatment. Furthermore, This study has shown that age is neither the cause of subdural effusion nor the leading cause of secondary surgery. Most subdural effusions in children can be absorbed within a few months after surgery, and only a few children need subsequent surgical treatment. Endoscopy is a safe technique for managing giant middle fossa cysts, including younger children.