Intracranial arachnoid cysts in children: a review of pathogenesis, clinical features, and management

Gosalakkal, Jayaprakash A.

doi:10.1016/s0887-8994(01)00329-0

Cited by 205 publications

(190 citation statements)

References 51 publications

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“…Arachnoid cysts that enlarge may become symptomatic if they compress adjacent neural structures or interfere with CSF circulation. 7 The most common symptom of a middle cranial fossa arachnoid cyst is headache, 2,11 followed by proptosis, contralateral motor weakness, and seizures. 9,10 Suprasellar arachnoid cysts may cause obstructive hydrocephalus, visual impairment, and endocrine dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…Posterior fossa arachnoid cysts often present with cerebel- lar symptoms, such as nystagmus and gait abnormalities. 7 The correlation between the size of the arachnoid cyst and signs and symptoms remains poor.…”

Section: Discussionmentioning

confidence: 99%

“…Cases of minor trauma associated with an arachnoid cyst and subdural hematomas are widely reported throughout the literature. 5,7 Intraparenchymal hemorrhage following evacuation of a large arachnoid cyst may likely represent a reperfusion injury, although no definitive cause has yet been determined for this condition. This hypothesis assumes that these patients experience chronic high cerebral perfusion pressure and poor local autoregulatory response as a direct result of mass effect caused by the arachnoid cyst.…”

Section: Discussionmentioning

confidence: 99%

“…While the pathogenesis of this complication remains unknown, there is some evidence that gradual slow decompression of large sylvian fissure arachnoid cysts may decrease the incidence of these complications. 1,6,7,13,16 We report the case of an 18-year-old female patient who presented with intractable progressive headaches with evidence of increased intracranial pressure (ICP). She was found to have a Galassi III arachnoid cyst ( Table 1).…”

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confidence: 99%

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Hemorrhagic infarction following open fenestration of a large intracranial arachnoid cyst in a pediatric patient

Auschwitz

DeCuypere

Khan

et al. 2015

PED

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Intracranial arachnoid cysts are a rare condition thought to be congenital in nature. Treatment of intracranial arachnoid cysts remains controversial based on their variable presentation. Treatment options include CSF shunting, endoscopic fenestration, or craniotomy and open fenestration for larger cysts. The complications of these procedures can include hydrocephalus, subdural hematomas, hygromas, and—more rarely—intraparenchymal hemorrhage. The authors found very few reports of hemorrhagic infarction as a complication of arachnoid cyst fenestration in the literature. The authors report a case of an 18-year-old female patient who suffered an ipsilateral hemorrhagic infarction after craniotomy for open fenestration of an arachnoid cyst.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Hemorrhagic infarction following open fenestration of a large intracranial arachnoid cyst in a pediatric patient

Auschwitz

DeCuypere

Khan

et al. 2015

PED

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“…Most of AC are asymptomatic 7,8 . Seizures, signs of intracranial hypertension, focal neurological deficits, macrocrania, developmental delay and bulging of the skull at a site corresponding to the cyst are the main signs and symptoms of the lesion 8,9 .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous acute subdural hematoma contralateral to an arachnoid cyst

Henriques

Filho

Henriques

et al. 2007

Arq. Neuro-Psiquiatr.

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-Arachnoid cysts (AC) are extra-cerebral cerebrospinal fluid collections of unknown origin. They correspond to 1% of all intracranial nontraumatic space-occupying lesions and appear more frequently in the middle fossa (50%). More than 25% of these cysts are incidental findings and the majority of patients are asymptomatic. Seizures, intracranial hypertension signs, neurological deficits, macrocrania, developmental delay and bulging of the skull are the main signs and symptoms of the lesion. AC rupture and bleeding are rare, usually occurring in young adults and associated with trauma. The risk of hemorrhage does not exceed 0.04% / year. We describe the case of a ten-year-old boy who presented with acute signs of intracranial hypertension secondary to a spontaneous acute subdural hematoma, contralateral to an AC of the middle fossa. Three factors were significant in this case: signs and symptoms occurred spontaneously; the presence of an acute subdural hematoma exclusively contralateral to the AC; successful outcome of the conservative treatment.KEY WORDS: arachnoid cyst, subdural hematoma, pediatric neurosurgery. Hematoma subdural agudo espontâneo contralateral a cisto aracnóideoRESUMO -Os cistos aracnóideos (CA) são coleções liquóricas extra-cerebrais e intra-aracnóideas de origem desconhecida. Correspondem a 1% de todas as lesões expansivas intracranianas não traumáticas e têm ní-tido predomínio na fossa média (50%). Até 25% destes cistos são achados incidentais sendo que a maioria dos pacientes é assintomática. Crises epilépticas, sinais de hipertensão intracraniana, déficits neurológicos focais, macrocrania, atraso no desenvolvimento e abaulamento da calota craniana são os principais sinais e sintomas da lesão. A ruptura dos CA, assim como seu sangramento, são situações raras, geralmente associadas a traumas e acometem adultos jovens. O risco de hemorragia em pacientes com CA não excede 0,04% ao ano. É descrito caso de paciente de dez anos de idade que subitamente apresentou sinais de hipertensão intracraniana secundários a hematoma subdural agudo espontâneo, contralateral a volumoso CA de fossa média. Três fatores foram de relevância neste paciente: a ocorrência de sinais e sintomas espontaneamente, especialmente em um menino; presença de hematoma subdural agudo exclusivamente contralateral ao CA; e a boa evolução com o tratamento conservador. PALAVRAS-CHAVE: cisto aracnóideo, hematoma subdural, neurocirurgia pediátrica.

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Cerebrospinal Fluid

2022

Veterinary Head and Neck Imaging

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Intracranial arachnoid cysts in children: a review of pathogenesis, clinical features, and management

Cited by 205 publications

References 51 publications

Hemorrhagic infarction following open fenestration of a large intracranial arachnoid cyst in a pediatric patient

Hemorrhagic infarction following open fenestration of a large intracranial arachnoid cyst in a pediatric patient

Spontaneous acute subdural hematoma contralateral to an arachnoid cyst

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