Cognition in Children with Arachnoid Cysts

Sandvik, Ulrika; Adolfsson, Tomas; Jacobson, Dan N O; Tedroff, Kristina

doi:10.3390/jcm9030850

Cited by 17 publications

(17 citation statements)

References 37 publications

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“…Arachnoid cysts can be the focus of epileptic seizures (25). An increased seizure frequency had been described in the case of temporal cysts (30,31).…”

Section: Discussionmentioning

confidence: 99%

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Intracranial cysts: incidental or neurodevelopmental?

Dirik

Şanlıdağ²

2022

Childs Nerv Syst

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Intracranial cysts are uid-lled sacs within the brain. There is a diversity of intracranial cysts with different incidences in addition to the growing awareness about comorbidities and the consequences. The present study aimed to evaluate cystic ndings in children who were admitted to the department of pediatric neurology. Methods:Children who were admitted to the Clinic of Pediatric Neurology and who had an MRI between 2016-2021 evaluated. The MRI examination performed with pediatric epilepsy protocol. Primary intracranial cysts had been enrolled in the study. Demographic and clinical ndings had been evaluated from the hospital's database and patients' les Results:Among 78 patients 36(46,2%) were male and 42(53,8%) were female. The mean age was 7±5,4 years. The most frequent complaint of attendance was a seizure (47,4%). Approximately one over four () had mental and/or motor retardation. Nine (11,5%) of them had a neuropsychiatric diagnosis.Most of the cysts were located at the midline (41%). Mostly located extra-axial (71,8%) and supratentorial (78,2%). Most frequently arachnoid cysts had been observed with a percent of 64.1. The second leading type was pineal cysts(15.4%).The history of seizure, epilepsy, presence of mental retardation, and neuropsychiatric problems was evaluated according to the population ratios based on z approximation in which signi fantly higher rates had been observed among cases with intracranial cysts. Conclusion:Intracranial cysts should be taken into consideration for comorbid pathologies especially in childhood period. Early evaluation in patents with intracranial cysts for developmental delay and neuropsychiatric problems is important.

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“…Arachnoid cysts can be the focus of epileptic seizures (25). An increased seizure frequency had been described in the case of temporal cysts (30,31).…”

Section: Discussionmentioning

confidence: 99%

“…Recent publications demonstrated bene ts in various symptoms like seizures, headache and cognition after surgical attempts (29,30).…”

Section: Introductionmentioning

confidence: 99%

Intracranial cysts: incidental or neurodevelopmental?

Dirik

Şanlıdağ²

2022

Childs Nerv Syst

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“…[18] Recently, more evidences have shown that MFACs have a negative effect on general cognitive ability and that this impairment can be improved by surgery. [34,19,1] But the remarkable complications reported in recent years' studies hinder the pursuit of these functional improvements. The surgical techniques of MFAC fenestration have been demonstrated in numerous studies.…”

Section: Discussionmentioning

confidence: 99%

Preventing Surgical Complications During Microscopic Fenestration in Middle Fossa Arachnoid Cysts: A Retrospective Study for 38 Cases and Literature Review

Zheng

Gong

2021

Preprint

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Purpose Middle fossa arachnoid cyst (MFAC) is one of the most common cranial cysts in children. The various postoperative complications following cyst fenestration are still the major concern for most surgeons. We systemically review the short-term postoperative complications in the literature and introduce our experience in preventing these complications.Methods A retrospective survey was conducted on the 38 cases of patients having MFAC (<14 years old) who underwent microscopic fenestration from January 2019 to December 2020. Short-term postoperative complications including postoperative hemorrhage/hematoma, subdural hygroma (SH), cranial nerve palsy, and central nervous system infection (PCNSI), and cerebrospinal fluid (CSF) leak were collected. A systematic PubMed search for cohort studies of surgically treated MFAC published from 2000 was performed. The short-term postoperative complications in the included studies were illustrated.Results The overall complication rate in our series is 5.2%. Eight patients (21.1%) developed postoperative SH. One of them required reoperation. Patients who developed SH were significantly younger (4.1±1.6 versus 6.2±3.4 y.o., p=0.018). Binary logistic analysis showed that a lower age could be a risk factor for developing SH (P=0.115). No postoperative hemorrhage, cranial nerve palsy, or CSF leak was observed. In the systemic review, eighteen studies were included, comprising 649 cases of MFAC. The most common complication was SH (4.9%). The short-term postoperative complication rate between microscopic and endoscopic techniques was similar.Conclusion The complication rate in MFAC fenestration is low in children. SH is the most common postoperative complication, and it is prone to occur in young children.

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“…[30] Proptosis, contralateral paresis, seizures, developmental disorders, language disorders, delays in neuropsychomotor development, and attention deficits have been described in children with arachnoid cysts of the middle fossa, [3,20,31,38,39] with some studies reporting improvement in cognitive function after neurosurgical treatment. [38,40,41] On the other hand, other authors have also demonstrated no correlation between arachnoid cysts of the middle fossa, even higher volumes, and neurocognitive impairment in children. [31,42,43]…”

Section: Middle Fossa and Sylvian Fissurementioning

confidence: 99%

Intracranial Arachnoid Cysts in Childhood: Pathogenesis, Clinical Features, and Management

Lima

Junior

Almeida

et al. 2022

Arch Pediat Neurosurg

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Arachnoid cysts are mostly incidental congenital lesions. Although commonly asymptomatic, it may present with nonspecific symptoms, such as headache, epilepsy, and signs of high intracranial pressure. In cases when symptoms are evident, surgical treatment has more precise indication, but the modalities and criteria for treatment remain controversial in the literature. All this makes arachnoid cysts a challenging topic in neurosurgery, raising discussions about diagnosis, management, and prognosis. This review aimed to present, in a didactic and straightforward way, already established knowledge and more recent updates, clarifying key points to guide the management and therapeutic decision of intracranial arachnoid cysts.

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Cognition in Children with Arachnoid Cysts

Cited by 17 publications

References 37 publications

Intracranial cysts: incidental or neurodevelopmental?

Intracranial cysts: incidental or neurodevelopmental?

Preventing Surgical Complications During Microscopic Fenestration in Middle Fossa Arachnoid Cysts: A Retrospective Study for 38 Cases and Literature Review

Intracranial Arachnoid Cysts in Childhood: Pathogenesis, Clinical Features, and Management

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