Abstract
Little is known about the natural course of arachnoidal cysts (AC) and the incidence of complications. This poses a problem in selection of patients for surgical interventions. The present authors report on 19 children with supratentorial AC of varying location and size. The mean follow-up time is 6 years. The evolution of presenting symptoms, the developmental course, the occurrence of complications, the surgical intervention performed and its outcome are described. Associated neurological disorders cannot always be attributed to the cyst. If surgery is being considered, a causal relationship between the symptom and the cyst should be plausible.
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Aicardi J, Bauman F (1975) Supratentorial extracerebral cysts in infants and children. J Neurol Neurosurg Psychiatry 38: 57–68
Becker T, Wagner M, Hofmann E, Warmuth-Metz M, Nadjmi M (1991) Do arachnoid cysts grow? Neuroradiology 33: 341–345
Beltramello A, Mazza C (1985) Spontaneous disappearence of a large middle fossa arachnoidal. Surg Neurol 24: 181–3L
Bhandari Y (1972) Non-communicating supratentorial subarachnoid cysts. J Neurol Neurosurg Psychiatry 35: 763–770
De Volder A, Michel C, et al (1994) Brain glucose utilisation in acquired childhood aphasia associated with a sylvian arachnoid cyst: recovery after shunting as demonstrated by PET. J Neurol Neurosurg Psychiatry 57: 296–300
Di Rocco C (1990) Arachnoid cysts. In: Youman JR (ed) Neurological surgery. Saunders, Philadelphia, pp 1299–1325
Galassi E, Piazza G, Giast G, et al (1980) Arachnoid cysts of the middle cranial fossa: a clinical and radiological study of 25 cases treated surgically. Surg Neurol 14: 211–219
Go KG, Houthoff HJ, Blaauw EH, et al (1984) Arachnoid cysts of the sylvian fissure. Evidence of fluid secretion. J Neurosurg 60: 803–810
Hanieh A, Simpson D (1988) Arachnoidal cysts: a critical review of 41 cases. Child’s Nerv Syst 4: 92–96
Harsh GR, Edwards MS (1986) Intracranial arachnoid cysts in children. J Neurosurg 64: 835–842
Hirano A, Hirano M (1988) Benign cystic lesions in the nervous system. Child’s Nerv Syst 4: 325–333
Ildan E, Cetinalp E, et al (1994) Arachnoidal cysts with traumatic intracystic hemorrhage assiociated with subdural hematoma. Neurosurg Rev 17: 229–232
Kato M, Nakada Y (1980) Prognosis of four cases of primary middle fossa arachnoidal cyst in children. Child’s Brain 7: 195–204
Locatelli D, Bonfanti N, Sfogliarinie R, et al (1987) Arachnoid cysts: diagnosis and treatment. Child’s Nerv Syst 3: 121–124
Raimondi AJ, Choux M (1993) Intracranial cyst lesions. In: Di Rocco C (ed) Principles of pediatric neurosurgery. Springer, Berlin Heidelberg New York, pp 101–111
Rengachary SS, Watanabe I, Brackett CE (1978) Pathogenesis of intracranial arachnoid cysts. Surg Neurol 9: 139–144
Sato K, Shimoji T, Yaguchi K, et al (1983) Middle fossa arachnoid cyst: clinical, neuroradiological and surgical features. Child’s Brain 10: 301–316
Schachenmayr W, Friede L (1979) Fine structure of arachnoid cysts. J Neuropathol Exp Neurol 38: 434–446
Voormolen J (1994) Arachnoid cysts of the middle cranial fossa: surgical management of headache. Clin Neurol Neurosurg 94[Suppl]: 176–179
Wester K, Hugdahl K (1995) Arachnoid cysts of the left temporal fossa: impaired preoperative cognition and postoperative improvement. J Neurol Neurosurg Psychiatry 59: 293–298
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Sommer, I.E.C., Smit, L.M.E. Congenital supratentorial arachnoidal and giant cysts in children: a clinical study with arguments for a conservative approach. Child’s Nerv Syst 13, 8–12 (1997). https://doi.org/10.1007/s003810050030
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DOI: https://doi.org/10.1007/s003810050030