Use of Computerized Tomography Scanning in Supratentorial Arachnoid Cysts

Anderson, F. M.; Segall, H. D.; Caton, W. L.; Burke, Dennis P.

doi:10.1097/00004728-198002000-00039

Cited by 4 publications

(9 citation statements)

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“…The CT/MR appearance of arachoid cysts has been described by Banna [3], Anderson et al [1 ], Osborn et al [31], Leo et al [24] and Brant-Zawadski et al [6].…”

Section: Ct/mr Appearance In Different Locationsmentioning

confidence: 86%

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Intracranial Arachnoid Cysts

Tp¹,

Radkowski³

1985

Pediatr Neurosurg

111

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“…The CT/MR appearance of arachoid cysts has been described by Banna [3], Anderson et al [1 ], Osborn et al [31], Leo et al [24] and Brant-Zawadski et al [6].…”

Section: Ct/mr Appearance In Different Locationsmentioning

confidence: 86%

“…There appear to be three types of arachnoid cysts: (1) those that communicate rapidly and freely with the subarachnoid space; (2) those that communicate slowly with delayed entry and delayed clearance of contrast agent from the cyst, and (3) those that never communi cate.…”

Section: Communication With (He Ventricles and Subarachnoid Spacementioning

confidence: 99%

Intracranial Arachnoid Cysts

Tp¹,

Radkowski³

1985

Pediatr Neurosurg

111

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“…14,[21][22][23][24][25][26] The most common presenting symptoms and signs are those of raised intracranial pressure, craniomegaly, and developmental delay. 7,10 They are usually seen in cases of large supratentorial cysts, but may also be caused by smaller suprasellar or posterior fossa cysts associated with obstructive hydrocephalus. [21][22][23][24] Focal neurological deficits and epilepsy are present in less than 30% of patients with middle fossa arachnoid cysts.…”

Section: Discussionmentioning

confidence: 99%

“…8,27 And between 31% and 60% of the cysts treated by craniotomy and wall excision recurred, necessitating additional surgical treatment, mostly a shunting procedure. 6,8,10 Moreover, coexisting hydrocephalus is rarely controlled by craniotomy and cyst excision, and ventriculoperitoneal shunt will be necessary in almost all these cases. 27 These results raise considerable doubt regarding the justification for this form of treatment as the primary treatment.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of arachnoid cyst was based on computerized tomography (CT) scan findings demonstrating a well-circumscribed and non-enhancing cystic lesion that had attenuation values similar to those of the cerebrospinal fluid (CSF) and did not communicate with the ventricular system. [9][10][11] There were 14 males and 11 females, ranging in age from a few days to 58 years, with an average of ten years. Nineteen (76%) patients were children below the age of 15 years.…”

Section: Methodsmentioning

confidence: 99%

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Intracranial Arachnoid Cysts: Treatment Alternatives and Outcome in A Series of 25 Patients

Jamjoom

1997

Ann Saudi Med

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A series of 25 patients with intracranial arachnoid cysts is analyzed retrospectively. There were 14 males and 11 females ranging in age between a few days and 58 (mean 10) years. Seventy-six percent of patients were children below the age of 15 years. Most of the patients presented with symptoms and signs of long-standing raised intracranial pressure, while localizing signs were rather uncommon. The clinical manifestations were often mild relative to the large size of the cyst. Associated hydrocephalus was present in three patients: one with suprasellar cyst and two with posterior fossa cysts. Seven patients with mild symptoms and small cysts were treated conservatively, while the remaining 18 patients underwent surgical treatment. The initial surgical procedure consisted of craniotomy and fenestration of the cyst in three patients, and cystoperitoneal shunting in the other 15. Of the three patients who underwent craniotomy, one improved postoperatively, while the remaining two developed complications consisting of wound infection and postoperative epilepsy in one and permanent severe neurological deficit in the other. In contrast, six of the 15 cysts treated by shunting resolved completely, eight were smaller, and one remained unchanged. Radiological regression of the cyst after shunting was associated with various degrees of clinical improvement in 13 patients (87%). Two (13%) of 15 shunted patients developed complications in the early postoperative period, consisting of wound infection in one and early shunt failure in the other. Three patients (20%) with shunts had late complications during the follow-up period, consisting of recurrent shunt failure in the first, subdural hematoma in the second, and perforation of the peritoneal catheter into the hepatic bile ducts in the third. These findings, as well as recent data from the literature, suggest that in the management of intracranial arachnoid cysts, cystoperitoneal shunting was more effective and had fewer serious complications than craniotomy and cyst fenestration, and therefore, it is recommended as the treatment of first choice. Ann Saudi Med 1997; 17(3) Arachnoid cysts are non-tumorous intra-arachnoid fluid collections that account for about 1% of all intracranial space-occupying lesions.1 They may develop thoughout the cerebrospinal axis, with a predominance in the sylvian region.2,3 Because of their benign nature and slow expansion, arachnoid cysts may remain symptomatic or produce only subtle symptoms and signs. On the other hand, they sometimes give rise to focal neurological deficits, raised intracranial pressure, and/or epileptic seizures. The question of when these lesions should be operated upon is, therefore, not always easy to answer. Moreover, the choice of the most appropriate surgical approach is still debated. 2,[4][5][6][7][8] In the following report, the author describes the clinical and radiological findings in 25 patients with intracranial arachnoid cysts. In addition, the treatment results are analyzed and compared with those publish...

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Multiple hydatid cysts of the brain: A case report and review of the literature

1998

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Multiple hydatid cysts of the brain are uncommon and may be either primary or secondary. We report a 12-year-old child with multiple hydatid cysts of the brain occurring 1 year after surgical rupture of a primary large and infected cerebral hydatid cyst. Surgical removal of hydatid cysts was successfully performed. Albendazole (10 mg/kg twice daily for 12 weeks) was administered to the patient in the postoperative stage.

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Use of Computerized Tomography Scanning in Supratentorial Arachnoid Cysts

Cited by 4 publications

References 0 publications

Intracranial Arachnoid Cysts

Intracranial Arachnoid Cysts

Intracranial Arachnoid Cysts: Treatment Alternatives and Outcome in A Series of 25 Patients

Multiple hydatid cysts of the brain: A case report and review of the literature

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