Skull base aneurysmal bone cyst presenting with hydrocephalus: progressive residuum obliterated by Gamma Knife stereotactic radiosurgery in a pediatric patient

Journal of Neurosurgery Pediatrics, vol. 26, pp. 76–81

Abstract

Aneurysmal bone cysts (ABCs) are an uncommon entity predominantly encountered in the pediatric population. The skull is rarely involved, but these cysts have been reported to arise in the skull base. Traditional treatment has been with surgery alone; however, there is a gathering body of literature that reports alternative treatments that can achieve long-term disease-free survival. However, these therapies are predominantly directed at peripheral skeletal lesions. To the authors' knowledge, this report is the first to describe long-term follow-up of the efficacy of Gamma Knife stereotactic radiosurgery for treatment of ABC residuum in the skull base that resulted in long-term patient stability and likely ABC obliteration.

Authors 5

1. George Hondag Tse corresponding

   Royal Hallamshire Hospital

   Affiliation as printed

   Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, United Kingdom;

2. Feng Yan Jiang Aachen Department of Radiology, Leiden University Medical Center

   Leiden University Medical Center

   Affiliation as printed

   Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands;

3. Matthias W. R. Radatz

   Royal Hallamshire Hospital

   Affiliation as printed

   The National Centre for Stereotactic Radiosurgery, Royal Hallamshire Hospital, Sheffield; and

4. Saurabh Kumar Sinha

   Sheffield Children's Hospital

   Affiliation as printed

   Department of Paediatric Neurosurgery, Sheffield Children’s Hospital, Western Bank, Sheffield, United Kingdom

   Department of Paediatric Neurosurgery, Sheffield Children's Hospital, Western Bank, Sheffield, United Kingdom

5. Hesham Zaki

   Sheffield Children's Hospital

   Affiliation as printed

   Department of Paediatric Neurosurgery, Sheffield Children’s Hospital, Western Bank, Sheffield, United Kingdom

   Department of Paediatric Neurosurgery, Sheffield Children's Hospital, Western Bank, Sheffield, United Kingdom