Although most arachnoid cysts remain static fluid-filled compartments throughout life, some become enlarged, exerting a mass effect on adjacent neural structures. The decision-making process for patients with arachnoid cysts still represents a challenge for the neurosurgeon. We report three cases of intracranial arachnoid cysts treated with different surgical approaches: (i) endoscopic fenestration of the cyst into the lateral ventricle; (ii) a cystoperitoneal shunt; (iii) a cystoperitoneal shunt and establishment of communication between the cyst and the fourth ventricle with the help of an endoscope. Given the advances in instrumentation over the past decade, it is probable that most arachnoid cysts will be managed endoscopically in the future.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00508-006-0540-2 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Progressive Quadriparesis of a Toddler with a Posterior Cranial Fossa Arachnoid Cyst (AC): Illustrative Case Report and Narrative Literature Review.
Children (Basel)
November 2024
Neurosurgery Department, University Hospital of Heraklion, School of Medicine, University of Crete, 71003 Heraklion, Crete, Greece.
Background/objectives: Intracranial arachnoid cysts (ACs) may be congenital, primary, or secondary due to trauma. These cysts are benign, contain cerebrospinal fluid (CSF), and are classified based on location, size, and their clinical symptomatology. They are uncommon lesions in children, rarely leading to severe mass-effect neurological symptomatology.
View Article and Find Full Text PDFSpinal anesthesia for cesarean delivery in a laboring patient with known cranial arachnoid cyst: a case report.
Int J Obstet Anesth
December 2024
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women's Hospital, Harvard Medical School, United States.
Article Synopsis
- Arachnoid cysts are generally fluid-filled and asymptomatic, requiring no surgery; however, their safety during neuraxial procedures in pregnant patients is not well-documented.
- The case presented involves the anesthetic management of a pregnant patient with a significant arachnoid cyst affecting the cerebellum who was in labor.
- Following a multidisciplinary approach, neuraxial labor anesthesia was deemed suitable, and the patient ultimately received spinal anesthesia for a cesarean delivery due to fetal distress.
Outcome of utilizing real-time contrast medium to detect the fistulas in spinal epidural arachnoid cysts and treat with minimally invasive surgery.
Eur Spine J
January 2025
Department of Neurosurgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Background: Spinal epidural arachnoid cysts (SEACs) are rare, non-neoplastic pathologies that can cause compressive myelopathy. Preoperative identification of the exact fistula location is crucial for minimally invasive management.
Methods: This single-center retrospective study included 27 patients with SEACs who underwent "double-needle puncture myelography" to precisely localize the fistula before minimally invasive surgery.
Quadrigeminal arachnoid cyst: Factors affecting outcomes and complications in a large series of cases.
Clin Neurol Neurosurg
December 2024
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, India. Electronic address:
Purpose: Arachnoid cysts constitute approximately 1 % of intracranial mass lesions, with quadrigeminal cistern arachnoid cysts being 5-18 % of those. This study presents a series of 31 cases of quadrigeminal cistern arachnoid cysts, constituting the most extensive series reported to date.
Methods: A retrospective analysis was conducted on 31 patients diagnosed with quadrigeminal cistern arachnoid cysts, focusing on clinical presentation, demographics, treatment approaches, and outcomes.
Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome.
J Vet Intern Med
December 2024
Department of Clinical Science and Services, Royal Veterinary College, University of London, London, UK.
Background: Spinal arachnoid diverticulum (SAD) is considered a rare disease in cats. Previous reports mainly classified SAD in cats as acquired.
Hypothesis/objectives: The aim of this study was to describe the signalment, clinical presentation, diagnostic imaging findings, and outcome in a group of cats with SAD.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!