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British Journal of Neurosurgery Feb 2022Cystoventriculostomy is a surgical treatment for arachnoid cysts. We present a case using a neuroendovascular stent to maintain ostomy patency.
INTRODUCTION
Cystoventriculostomy is a surgical treatment for arachnoid cysts. We present a case using a neuroendovascular stent to maintain ostomy patency.
CASE REPORT
A 6½-year-old male with symptomatic arachnoid cyst underwent endoscopic fenestration and Wingspan stent insertion.
CONCLUSION
Neuroendovascular stent placement may be an adjunct to maintain patency in cystoventriculostomy.
Topics: Arachnoid Cysts; Endoscopy; Humans; Male; Middle Aged; Stents
PubMed: 29950125
DOI: 10.1080/02688697.2018.1485876 -
Revista de Neurologia Jul 1997Intracranial arachnoid cysts are benign, congenial cystic lesions found in infancy. The commonest sites are the lateral fissure and the posterior fossa. Exceptionally... (Review)
Review
INTRODUCTION
Intracranial arachnoid cysts are benign, congenial cystic lesions found in infancy. The commonest sites are the lateral fissure and the posterior fossa. Exceptionally they may be found in the ventricular system.
CLINICAL CASE
We describe a 69 year old patient with a clinical history of headache and tingling of the face for 24 hours. Diagnosis of a lateral ventricle arachnoid cyst was made on computerized tomography and magnetic resonance. Treatment was surgical with excision of the wall of the cyst and the communication with the ventricle.
CONCLUSION
We review 14 cases previously described (9 adults and 5 children), analyzing their clinical and radiological features, type of treatment given and the different theories proposed as to pathogenesis.
Topics: Adult; Aged; Arachnoid Cysts; Child; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Tomography, X-Ray Computed
PubMed: 9280645
DOI: No ID Found -
The New England Journal of Medicine Sep 2015
Topics: Accidents, Traffic; Arachnoid Cysts; Brain Diseases; Cerebral Ventricles; Craniocerebral Trauma; Humans; Magnetic Resonance Imaging; Male; Tomography, X-Ray Computed; Young Adult
PubMed: 26352828
DOI: 10.1056/NEJMicm1413067 -
World Neurosurgery Feb 2013The first case of an intracranial arachnoid cyst was described by Bright in 1831. In 1935, Barlow published the first case of a suprasellar arachnoid cyst. Fewer than... (Review)
Review
BACKGROUND
The first case of an intracranial arachnoid cyst was described by Bright in 1831. In 1935, Barlow published the first case of a suprasellar arachnoid cyst. Fewer than 200 cases of suprasellar-prepontine arachnoid cysts have been reported in the literature as of January 2011.
METHODS
Between 1994 and 2010, the senior author operated on 34 cases of suprasellar-prepontine arachnoid cysts. Eighteen female and 16 male patients ranged in age from 6 days to 16 years (mean 5.2 years). Follow-up of the patients ranged from 1 year to 16 years.
RESULTS
Outcome may be evaluated according to radiological and clinical follow-up data. Postoperative radiological examinations must reveal: 1) the adequacy of fenestrations and flow through fenestration sites, 2) reduction of the cyst and ventricle size, and 3) reorientation of the chiasma and mammillary bodies to an acceptable anatomical position. In our series, no mortality occurred. Postoperative complication occurred in 3 cases.
CONCLUSIONS
Suprasellar arachnoid cysts can be treated with favorable clinical and radiological results with endoscopic interventions when feasible. Results with ventriculocystocisternostomy are believed superior to those of ventriculocystostomy.
Topics: Adolescent; Adult; Arachnoid Cysts; Central Nervous System Cysts; Child; Child, Preschool; Endoscopy; Female; Humans; Hydrocephalus; Infant; Magnetic Resonance Imaging; Male; Neuroendoscopy; Neurosurgical Procedures; Terminology as Topic; Treatment Outcome
PubMed: 22381821
DOI: 10.1016/j.wneu.2012.02.011 -
Revista de Neurologia Jul 2023
Topics: Humans; Hydrocephalus; Arachnoid Cysts; Intracranial Hypertension
PubMed: 37403245
DOI: 10.33588/rn.7702.2022390 -
La Revue Du Praticien Apr 2014
Topics: Arachnoid Cysts; Child; Exotropia; Humans; Magnetic Resonance Imaging; Male; Nystagmus, Pathologic
PubMed: 24855774
DOI: No ID Found -
Pediatric Neurology Jan 1997Intracranial arachnoid cysts are developmental anomalies that are generally asymptomatic. We describe a 6-month-old boy with macrocephaly but normal neurological... (Review)
Review
Intracranial arachnoid cysts are developmental anomalies that are generally asymptomatic. We describe a 6-month-old boy with macrocephaly but normal neurological development who was found to have a rare, massive basal arachnoid cyst occupying most of the cranium and extending superiorly, causing significant shift due to mass effect. A cystoperitoneal shunt was placed, producing both a decrease in the arachnoid cyst dimensions and a concomitant reexpansion of parenchyma. After consideration of various management options, such a shunt system appears to offer a low risk of complications and a high likelihood of success.
Topics: Arachnoid Cysts; Brain; Humans; Infant; Magnetic Resonance Imaging; Male; Neurologic Examination; Postoperative Complications; Tomography, X-Ray Computed; Ventriculoperitoneal Shunt
PubMed: 9044405
DOI: 10.1016/s0887-8994(96)00250-0 -
Otology & Neurotology : Official... Apr 2022
Topics: Arachnoid Cysts; Ear, Inner; Humans; Magnetic Resonance Imaging; Petrous Bone
PubMed: 34999615
DOI: 10.1097/MAO.0000000000003451 -
The Pan African Medical Journal 2021Supratentorial arachnoid cysts are usually asymptomatic and may be discovered by chance at autopsy; however, infratentorial arachnoid cysts, which correspond to liquid...
Supratentorial arachnoid cysts are usually asymptomatic and may be discovered by chance at autopsy; however, infratentorial arachnoid cysts, which correspond to liquid forms enclosed by an arachnoid sheet but whose pathogenesis is unknown, might cause symptoms. They don't need to be treated if they're asymptomatic and were discovered by chance. A variety of neurological symptoms can be present depending on their localization. Intracranial dermoid cysts are uncommon tumours that develop from ectopic epithelial cells in the brain. They are benign, slow-growing, and rarely rupture. The association between the two diseases is extremely rare and when it is present may suggest the existence of a common factor. We present a unique case of a young girl who developed headache and ataxia as a result of an intracranial infratentorial dermoid cyst and an arachnoid cyst of the cerebellopontine angle. Complete removal of the dermoid cyst and drainage of the cyst leads to a full recovery. Dermoid and arachnoid cyst are two pathologies with a possible common embryogenic factor, early surgery can give a better outcome in the long term.
Topics: Arachnoid Cysts; Brain; Cerebellopontine Angle; Dermoid Cyst; Drainage; Female; Humans; Magnetic Resonance Imaging
PubMed: 34909093
DOI: 10.11604/pamj.2021.40.125.32040 -
Pediatric Neurosurgery 2013Tick paralysis is an uncommon phenomenon resulting from the release of a neurotoxin from the salivary glands of an engorged, gravid female tick about 5-7 days after... (Review)
Review
Tick paralysis is an uncommon phenomenon resulting from the release of a neurotoxin from the salivary glands of an engorged, gravid female tick about 5-7 days after attachment. The neurotoxin produces ascending weakness, mimicking other ascending paralytic processes. We present a case of a child presenting with weakness of the lower extremities and frequent falls who was found to have a compressive thoracic arachnoid cyst and a large distal syrinx. After surgical decompression, the patient made significant improvement in her leg strength, but quickly developed an ascending quadriparesis, followed by respiratory depression. Subsequent imaging and physical examination revealed an engorged tick embedded in her scalp. The tick was removed, and the patient made a rapid and complete clinical recovery. We present a unique case of concomitant tick paralysis and a symptomatic spinal intradural arachnoid cyst, and review the literature on tick paralysis.
Topics: Animals; Arachnoid Cysts; Child, Preschool; Female; Humans; Spinal Cord Diseases; Syringomyelia; Thoracic Vertebrae; Tick Paralysis
PubMed: 25531213
DOI: 10.1159/000368278