Unusual Presentation of the Intracranial Arachnoid Cysts Posing with Treatment Dilemma: A Case Series

Authors

  • Abhishek Chaturbedi Associate professor and Head, Department of Neurosurgery, Manmonhan Memorial Medical College and Teaching Hospital, Swoyambhu-15, Kathmandu, Nepal
  • Jitendra Thakur Consultant, Department of Neurosurgery, Manmonhan Memorial Medical College and Teaching Hospital, Swoyambhu-15, Kathmandu, Nepal

Keywords:

intracranial arachnoid cysts, unusual presentations, treatment dilemma

Abstract

A case series comprising of 3 patients with intracranial arachnoid cysts presented with atypical features raising the doubt on the symptomatic nature of the cyst. It posed dilemma on the further management of these patients. In two patients, surgical intervention to decompress the arachnoid cyst was performed which drastically improved the patient’s symptoms. One patient with intracranial arachnoid cyst who has been conservatively managed persists to have symptoms.

References

. WN Al-Holou, S Terman, C. Kilburg et al. “Prevalence and natural history of arachnoid cysts in adults”. J Neurosurg, 118:222–231, 2013.

. WN Al-Holou, A Yew, Z Boomsaad, et al. “Prevalence and natural history of arachnoid cysts in children”. J Neurosurg, 5:578–585, 2010.

. KG Go, H-J Houthoff, EH Blaauw et al. “Arachnoid cysts of the Sylvian fissure”. J Neurosurg, 60:803–813, 1984.

. E Galassi, F Tognetti, G Gaist et al. “CT scan and metrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: Classification and pathophysiological aspects”. Surg Neurol, 17:363–369, 1982.

. M Kumagai, N Sakai, H Yamada et al. “Postnatal development and enlargement of primary middle cranial fossa arachnoid cyst recognized on repeat CT scans”. Childs Nerv Syst, 2:211–215, 1986.

. JR Little, MR Gomez, CS MacCarty. “Infratentorial arachnoid cysts”. J Neurosurg, 39:380–386, 1973.

. SS Rengachary, I Watanabe, CE Bracket. “Pathogenesis of intracranial arachnoid cysts”. Surg Neurol, 9:139–44, 1978.

. L Basaldella, E Orvieto, AP Dei Tos et al. “Causes of arachnoid cyst development and expansion”. Neurosurg Focus, 22:E4, 2007.

. JA Gosalakkal. “Intracranial arachnoid cysts in children: A review of pathogenesis, clinical features, and management”. Pediatr Neurol, 26:93–98, 2002.

. A Barkovich. “Diagnostic Imaging: Pediatric Neuroradiology”. Thieme, New York: 2014

. M Cress, JRW Kestle, R Holubkov et al. “Risk factors for pediatric arachnoid cyst rupture/hemorrhage”. Neurosurgery, 72:716–722, 2013.

. SH Halani, MG Safain, CB Heilman. “Arachnoid cyst slit valves: The mechanism for arachnoid cyst enlargement”. J Neurosurg Pediatr, 12:62–66, 2013.

. ME Fewel, ML Levy, G McComb. “Surgical treatment of 95 children with 102 intracranial arachnoid cysts”. Pediatr Neurosurg, 25:165–173, 1996.

Downloads

Published

2020-04-07

How to Cite

Chaturbedi, A. ., & Thakur, J. (2020). Unusual Presentation of the Intracranial Arachnoid Cysts Posing with Treatment Dilemma: A Case Series. American Scientific Research Journal for Engineering, Technology, and Sciences, 67(1), 11–16. Retrieved from https://asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/5818

Issue

Section

Articles