A suprasellar arachnoid cyst resulting from an intraventricular haemorrhage and showing complete resolution following endoscopic fenestration

Palin, Martin S.; O'reilly, Gerard; Goodden, John

doi:10.1136/bcr-2015-209290

Cited by 7 publications

(5 citation statements)

References 5 publications

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“… 11 Several reports of de novo arachnoid cysts have been described following trauma and/or intraventricular hemorrhage of prematurity. 5 , 15 , 16 It is thought that this type of cerebral trauma may lead to microsplitting of the arachnoid membranes, allowing CSF accumulation. 5 Our patient did not experience either trauma or intraventricular hemorrhage of prematurity.…”

Section: Discussionmentioning

confidence: 99%

Nontraumatic symptomatic de novo arachnoid cyst in an adolescent patient treated with cystoperitoneal shunting: illustrative case

Fuentes,

Yun,

Jane

2024

Journal of Neurosurgery: Case Lessons

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BACKGROUND Arachnoid cysts are often congenital, asymptomatic lesions detected in the pediatric population. When seen in adults, they usually occur following trauma. De novo formation of arachnoid cysts is uncommon, with only a few instances cited in the literature and most of which occurred in the pediatric population. Treatment options for these lesions include observation, craniotomy for cyst resection, microsurgical/endoscopic fenestration, or shunting. OBSERVATIONS In this report, the authors describe a female patient with a de novo, symptomatic, enlarging middle cranial fossa arachnoid cyst detected at age 16 years. She was treated with the placement of a cystoperitoneal shunt. After surgery, she experienced clinical and radiological improvement. LESSONS We illustrate successful shunting of a de novo arachnoid cyst in a symptomatic teen patient. Although arachnoid cysts in certain intracranial locations are more likely to produce symptoms, those in the middle cranial fossa tend to be asymptomatic. To our knowledge, this is the first reported case of a symptomatic de novo arachnoid cyst located in the middle cranial fossa in a postpubertal patient. Although the current presentation is rare, the authors demonstrate an effective surgical treatment of a symptomatic, large, de novo arachnoid cyst in a postpubertal pediatric patient.

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Section: Discussionmentioning

confidence: 99%

Nontraumatic symptomatic de novo arachnoid cyst in an adolescent patient treated with cystoperitoneal shunting: illustrative case

Fuentes,

Yun,

Jane

2024

Journal of Neurosurgery: Case Lessons

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show abstract

“…Other etiologies in the literature illustrate de novo cyst formation from head trauma or intraventricular hemorrhage of prematurity. [ 8 , 9 , 14 ] Enlargement, which occurs in an unpredictable manner, is thought to occur by either active fluid secretion from cyst walls, expansion from osmotic gradients, or unidirectional valve mechanisms. [ 3 , 6 , 10 ]…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, there are rare exemplary case descriptions in the literature illustrating de novo cyst formation from head trauma or intraventricular hemorrhage of prematurity. [ 8 , 9 , 14 ] The prevalence of these lesions has incidentally increased with rising utilization of imaging modalities, namely, computed tomography and magnetic resonant imaging (MRI). The majority of these cysts are asymptomatic, and their long-term behavior is often unknown.…”

Section: Introductionmentioning

confidence: 99%

Intracranial arachnoid cysts in an infant: A technical note on the innovative use of navigation and flexible endoscopy for cyst fenestration

Sprau

McCrea

2021

Surgical Neurology International

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Background: Intracranial arachnoid cysts (ACs) are a cerebral spinal fluid (CSF) collection within the meninges. They typically arise during embryologic development. Some are stable overtime with little consequence, but large or growing cysts may require surgical intervention. The optimal surgical technique is debated and may be more technically challenging in the infant age group. Case Description: Our unique case report details a 10-month-old (6 months corrected age) infant who presented with a drastic increase in head circumference and was found to have midline shift and three cysts – one large and two smaller ones. He was treated with an innovative surgical approach combining stereotactic introduction of a catheter to facilitate subsequent flexible endoscopy allowing three separate cysts to be treated through one small surgical incision with no complications and a stable examination on 2-year follow-up. Conclusion: Symptomatic ACs in the infant population that require treatment can be addressed with open surgery to fenestrate the cyst, endoscopic cyst fenestration, or cystoperitoneal shunting. Typically, surgeons must choose between a rigid endoscope which allows stereotactic navigation or a flexible endoscope which allows multiple trajectories but precludes navigation. Our case demonstrates that combining stereotactic ventricular placement before flexible endoscopy provides the benefit of both approaches and allows for successful endoscopic treatment in a young patient with durable results.

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“…treatment of various neurosurgical diseases. Especially in the past 10 years, neuroendoscopy has been rapidly popularized in clinical applications because of the improvement of endoscopic surgical instruments and surgical techniques [6][7][8]. Neuroendoscopy has a short focal length, wide field of vision, good lighting and image quality and can be used in operations such as electrocoagulation hemostasis, irrigation, and biopsy by using different channels in the endoscope [9].…”

Section: Introductionmentioning

confidence: 99%

Endoscope-assisted microneurosurgery for intracranial aneurysms: A systematic review and meta-analysis

Shao

Liu

Zhang

et al. 2022

Journal of Clinical Neuroscience

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A suprasellar arachnoid cyst resulting from an intraventricular haemorrhage and showing complete resolution following endoscopic fenestration

Abstract: SUMMARYWe present the case of a premature neonate who developed a large, acquired arachnoid cyst as a consequence of intraventricular haemorrhage. The child was managed with endoscopic fenestration and made an excellent recovery. BACKGROUND

Cited by 7 publications

References 5 publications

Nontraumatic symptomatic de novo arachnoid cyst in an adolescent patient treated with cystoperitoneal shunting: illustrative case

Nontraumatic symptomatic de novo arachnoid cyst in an adolescent patient treated with cystoperitoneal shunting: illustrative case

Intracranial arachnoid cysts in an infant: A technical note on the innovative use of navigation and flexible endoscopy for cyst fenestration

Endoscope-assisted microneurosurgery for intracranial aneurysms: A systematic review and meta-analysis

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