Sellar and suprasellar arachnoid cyst

Mangussi‐Gomes, João; Gentil, André Felix; Filippi, Renée Zon; Momesso, Rafael Almeida; Handfas, Benjamin Wolf; Radvany, João; Balsalobre, Leonardo; Stamm, Aldo Cassol

doi:10.31744/einstein_journal/2019ai4269

Cited by 8 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The solid portion contains a hypointense T1-weighted signal, while the cystic portion’s signal is changeable. [ 23 , 40 , 41 ] In comparison with craniopharyngiomas, Rathke’s cleft cyst and AC have smooth contours and homogeneous lesions. Rathke’s cleft cysts are located in the midline, beginning between the anterior and posterior pituitary.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of Rathke’s cysts demonstrate some contrast enhancement, rare calcification of the cyst, and changeable T1-weighted and T2-weighted signals; it does not enhance but might exhibit an enhancing rim of compressed pituitary tissue surrounding the cyst. [ 23 ] The signal characteristics of the cystic fluid of craniopharyngiomas and Rathke’s cleft cysts can vary from hypo-to hyperintense depending on relative concentrations of cholesterol, triglycerides, and protein. [ 10 ] Likewise, AC indicates no contrast enhancement, and the pituitary gland can be identified flattened against the sellar walls.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review

Matmusaev

Watanabe

Iwami

et al. 2023

Surgical Neurology International

View full text Add to dashboard Cite

Background: Arachnoid cysts (ACs) are collections of cerebrospinal fluids (CSFs) that develop within the arachnoid layer of the meninges. Sellar ACs are comparatively rare. In general, ACs account for approximately 1% of all intracranial mass lesions, and sellar ACs are 3% of all intracranial ACs. An endoscopic transnasal transsphenoidal approach for the treatment of ACs by fenestrating the cyst’s wall and connecting with the subarachnoid space is the most optimal option. Case Description: A 74-year-old woman whose sellar AC was diagnosed on magnetic resonance imaging a year ago was admitted to our hospital with complaints of bitemporal hemianopia and diminished visual acuity in the past 2 months. Sellar AC was diagnosed based on the clinical history and presentation, as well as neurologic, endocrinologic, and ophthalmologic examinations, including visual acuity and visual field examination, and additional imaging findings. The patient with a sellar/suprasellar AC was treated by an endoscopic transnasal transsphenoidal approach with cyst drainage and perforation of the lamina terminalis. Postoperatively, the visual disturbances improved markedly. No surgery-related complications occurred. Conclusion: The endoscopic transnasal transsphenoidal approach remains a minimally invasive and preferred approach for the treatment of sellar/suprasellar ACs. Hermetically reconstructing the sellar floor is an effective method to prevent CSF leakage.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review

Matmusaev

Watanabe

Iwami

et al. 2023

Surgical Neurology International

View full text Add to dashboard Cite

show abstract

“…Arachnoid cysts, on the other hand, appear homogeneous, contain CSF, show no contrast enhancement and can have pituitary gland flattened against the sellar walls. 7 Since leptomeninges are absent in the sella turcica, intrasellar arachnoid cysts are not associated with normal CSF cisterns. 4 These cysts can have layers of nonciliated meningothelial cells as lining epithelium.…”

Section: Discussionmentioning

confidence: 99%

Cystic lesion of the sella turcica: interesting case report and review of literature

Prabha

Rangachari

Kovai

et al. 2021

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

ABSTRACTIntrasellar arachnoid cysts are rare entities. High index of suspicion and precise radiological evaluation are the cornerstone for appropriate diagnosis and treatment. We present a symptomatic case of a sellar cystic lesion in a 52-year-old lady, who had complaints of decreased vision associated with diplopia of three months duration. Clinical evaluation showed bitemporal hemianopia. Magnetic Resonance Imaging (MRI) of brain revealed features of sellar arachnoid cyst with the intracystic component similar to cerebrospinal fluid (CSF). She underwent endoscopic transnasal transsphenoidal excision of lesion. Her visual symptoms improved well on subsequent follow up.However infrequent, sellar arachnoid cyst should be borne in mind as differential diagnosis for any cystic sellar lesions, as they can mimic pituitary adenomas, either by impairment of pituitary hormonal function or by exerting pressure effects on optic chiasma. Evaluation modalities, therapeutic challenges and literature review are presented in this case report.

show abstract

“…The overwhelmingly lesion in sellar/suprasellar region is pituitary adenomas, however this region can be affected by a variety of non-pituitary lesions, including craniopharyngiomas, cystic nonneoplastic lesions, inflammatory lesions, and so on [1,2]. Given that various diseases occurring in this region, as well as high operative risks, therefore arriving at the right preoperative diagnosis is important for taking appropriate therapeutic decisions, for instance, selecting surgical approach and necessity, ameliorating surgical complications [3].…”

Section: Introductionmentioning

confidence: 99%

Coexistence of Suprasellar Lesion and Pulmonary Congestion: Two Rare Cases and Literature Review

Xiong

Wang

Bao

et al. 2020

BJSTR

View full text Add to dashboard Cite

Background:The characteristics of sellar/suprasellar lesion are endocrine disturbance, obesity and sleepiness disorder. However coexistence suprasellar lesion with pulmonary congestion is extremely rarely reported. Case presentation:Two cases in the present report included typical traits of sellar/ suprasellar tumor, besides they were identified preoperative pulmonary congestion by chest computer tomography. Abnormal hormone level accompanying with obesity induced and accelerated preoperative pulmonary congestion. Because coexistence of sellar/suprasellar lesion with pulmonary congestion is very rare, we confirmed the ultra-rare cases by literature reviewing. Conclusion:Implementation of general anesthesia to patients with sellar/ suprasellar lesion is a challenge to every anesthesiologist due to their complex pathophysiological changes. Occurrence of pulmonary congestion increases extra burden to anesthesiologists. Because ignorance of the accompanying pulmonary congestion might produce irretrievable disaster, the importance of preoperative evaluation and makeup of anesthesia plan should be stressed. Additional, the diagnosis of the second case was Erdheim-Chester disease, a very rare disease in children. This was the forth youngest case of this disease reported by searching PubMed and PMC.

show abstract

Sellar and suprasellar arachnoid cyst

Cited by 8 publications

References 9 publications

Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review

Endoscopic transnasal transsphenoidal management of sellar/suprasellar arachnoid cyst: A case report and literature review

Cystic lesion of the sella turcica: interesting case report and review of literature

Coexistence of Suprasellar Lesion and Pulmonary Congestion: Two Rare Cases and Literature Review

Contact Info

Product

Resources

About