Management of a congenital arachnoid cyst in a newborn with obstructive hydrocephalus: A multistage surgical approach and neurodevelopmental outcome

This case highlights the challenges of managing congenital ACs complicated by hydrocephalus, particularly when primary endoscopic fenestration fails. A staged, individualized neurosurgical approach, guided by neuroimaging and clinical evolution, can achieve both structural resolution and developmental stabilization. The use of stereotactic navigation and programmable shunt systems may enhance long-term outcomes in refractory neonatal cases.

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Publication Details

Journal
Surgical Neurology International
Published
2025-12-19
DOI
https://doi.org/10.25259/sni_915_2025
Primary Topic
Cerebrospinal fluid and hydrocephalus
Type
article
Field-Weighted Citation Impact
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article

Management of a congenital arachnoid cyst in a newborn with obstructive hydrocephalus: A multistage surgical approach and neurodevelopmental outcome

Egor Chmutin, Gerald Musa, Z. U. Zokhidov, M. Zh. Chigibaev et al.
Surgical Neurology International
Cerebrospinal fluid and hydrocephalus
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Management of a congenital arachnoid cyst in a newborn with obstructive hydrocephalus: A multistage surgical approach and neurodevelopmental outcome

Egor Chmutin, Gerald Musa, Z. U. Zokhidov, M. Zh. Chigibaev, Nicola Montemurro, Gennady Chmutin, Dovran D.B Nurmyradov, Baha M.N. Alawna
article en

Abstract

This case highlights the challenges of managing congenital ACs complicated by hydrocephalus, particularly when primary endoscopic fenestration fails. A staged, individualized neurosurgical approach, guided by neuroimaging and clinical evolution, can achieve both structural resolution and developmental stabilization. The use of stereotactic navigation and programmable shunt systems may enhance long-term outcomes in refractory neonatal cases.

Surgical Neurology InternationalVol. 16
Peoples' Friendship University of Russia (RU), Russian Children's Clinical Hospital (RU), Azienda Ospedaliera Universitaria Pisana (IT)
Openalex Percentile: Top 56%
Cerebrospinal fluid and hydrocephalus
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