Arachnoid cysts are intracranial pathologies in the space between the pia mater and the dura mater of the brain and cerebellum. Arachnoid cysts are derived from the arachnoidea mater, which while yielding to germination or splitting creates a space filled with liquid with a composition similar to cerebrospinal fluid. The aim of the study is to present possible clinical symptoms and radiological presentation of intracranial arachnoid cysts. The symptoms of intracranial arachnoid cysts are dependent on its size and location. Small cysts are often asymptomatic, while reaching a large size they have the effect of weight, which can lead to oppression and displacement of neurovascular structures, increased intracranial pressure, and therefore such cysts may be the reason for the occurrence of neurological symptoms. Increasing headaches, dizziness, nausea with or without vomiting, stiff neck may even feign subarachnoid hemorrhage (SAH). In neuroimaging arachnoid cysts account for 1-2% of all intracranial pathologic masses. The most common location of arachnoid cysts is down the middle and rear of the skull in natural bodies of cerebrospinal fluid. Arachnoid cysts have a high rate of change. They can undergo spontaneous growth as well as the reduction or disappearance. Headaches, nausea or vomiting, worsening of mood, mental status changes, ataxia, seizures, hearing loss may be symptoms of serious intracranial pathology requiring diagnosis based on neuroimaging.
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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 PDFInt J Obstet Anesth
December 2024
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women's Hospital, Harvard Medical School, United States.
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.
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.
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.
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