A Review on the Effectiveness of Surgical Intervention for Symptomatic Intracranial Arachnoid Cysts in Adults

Hayes, Madeline; TerMaath, Stephanie C.; Crook, T. Russell; Killeffer, James A.

doi:10.1016/j.wneu.2018.11.149

Cited by 32 publications

(18 citation statements)

References 195 publications

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“…They found that posterior fossa AC had good clinical outcome, in line with our results and that dizziness and vomiting were predictors of favorable outcome[12]. A recent review of the effectiveness of surgical intervention for symptomatic intracranial arachnoid cyst in adults showed that surgical intervention is an effective approach to eliminate symptoms caused by posterior fossa AC[13].…”

supporting

confidence: 83%

Adult Posterior Cranial Fossa Arachnoid Cyst: A Case Report

Berete¹,

Bah²,

Hammas³

et al. 2019

OJMN

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Adult posterior fossa arachnoid cysts are rare lesions that are considered to be mostly congenital in origin. We present 49-year-old man admitted with a chief complaint of tremor and balance problems for the past 2 months. He had ataxia on examination. Magnetic resonance imaging revealed a well circumscribed midline cystic lesion of the posterior fossa sharing the same signal characteristics as cerebrospinal fluid and non-communicating to the fourth ventricle. He underwent surgical treatment for his symptomatic posterior fossa arachnoid cyst with a good outcome at 2 years follow up.

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supporting

confidence: 83%

Adult Posterior Cranial Fossa Arachnoid Cyst: A Case Report

Berete¹,

Bah²,

Hammas³

et al. 2019

OJMN

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“…Surgical interventions aim to decrease the pressure the cyst exerts on surrounding structures or to eliminate an obstruction of cerebrospinal fluid. Surgical techniques for symptomatic cysts include craniotomy with cyst excision or fenestration, endoscopic fenestration, and shunting [8]. A 2019 meta-analysis found that these treatments improved patient outcomes with no significant difference between them.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Retrocerebellar Arachnoid Cysts Presenting as Peripheral Vertigo: Case Report and Literature Review

Lee

Ziman

Deleija

2020

Cureus

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Bilateral retrocerebellar arachnoid cysts are exceedingly rare. We report a case of a 38-year-old woman, who presented with progressive vertigo and was found to have bilateral retrocerebellar arachnoid cysts. The patient's clinical presentation was most consistent with benign positional peripheral vertigo, while the cysts were thought to be incidental findings. We review the literature on bilateral retrocerebellar arachnoid cysts and discuss their management.

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“…conducted by a literature search of existing studies concluded the treatment effect was 0.667 ( P < 0.01) for all surgical intervention in improving patient outcomes. [ 11 ] Cyst volume postoperatively does not correlate with patient outcomes[ 1 , 4 , 11 , 16 ] and thus should not be used to evaluate success. The previous meta-analysis comparing surgical methods found partial symptom improvement in 90% of surgical patients ( P < 0.01).…”

Section: Symptomatic Patientsmentioning

confidence: 99%

Intracranial arachnoid cysts: Review of natural history and proposed treatment algorithm

Carbone¹,

Sadasivan²

2021

Surgical Neurology International

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Background: With a prevalence of 1.4%, intracranial arachnoid cysts are a frequent incidental finding on MRI and CT. Whilst most cysts are benign in the long-term, clinical practice, and imaging frequency does not necessarily reflect this. Methods: A literature review was conducted searching the Medline database with MESH terms. This literature was condensed into an article, edited by a consultant neurosurgeon. This was further condensed, presented to the neurosurgery department at Princess Alexandra Hospital for final feedback and editing. Results: This review advises that asymptomatic patients with typical cysts have a low risk of cyst growth and development of new symptomatology, thus do not require surveillance or intervention. The minority of symptomatic patients or those with cysts in sensitive areas may require referral to a neurosurgeon for clinical follow-up or intervention. Conclusion: Greater than 94% of patients are asymptomatic, practitioners can be confident in reassuring patients of the benign nature of a potentially worrying finding. Recognizing the small number of symptomatic patients and those with cysts in areas sensitive to causing hydrocephalus is where GP decision making in conjunction with specialty input is of highest yield.

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A Review on the Effectiveness of Surgical Intervention for Symptomatic Intracranial Arachnoid Cysts in Adults

Cited by 32 publications

References 195 publications

Adult Posterior Cranial Fossa Arachnoid Cyst: A Case Report

Adult Posterior Cranial Fossa Arachnoid Cyst: A Case Report

Bilateral Retrocerebellar Arachnoid Cysts Presenting as Peripheral Vertigo: Case Report and Literature Review

Intracranial arachnoid cysts: Review of natural history and proposed treatment algorithm

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