Giant arachnoid cyst in adult presented with secondary epileptiform activity

Stanishevskiy, A. V.; Gizatullin, Shamil; Давыдов, Д В

doi:10.25259/sni_617_2021

Cited by 1 publication

(1 citation statement)

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“…Regarding the management of patients diagnosed incidentally, it is preferred to observe using serial MRIs, endocrinological tests, and a comprehensive ophthalmologic assessment and treated as per significant findings. As for the patients with symptoms, the treatment is surgical via cyst fenestration either by endoscopy or craniotomy [ 11 ]; surgical intervention should be reserved for those AC in which their size impacts their surroundings, whether it be via compression of neural structures, formations of hydrocephalus or symptomatic refractory presentations [ 4 ]. However, it has been reported that some patients were managed with medical treatment without the need to resort to surgical intervention [ 10 ]; our patient presented with frequent convulsions with CT finding of a large AC on imaging, so he was treated surgically via craniotomy due to the mass effect of the AC.…”

Section: Discussionmentioning

confidence: 99%

Arachnoid Cyst: A Sudden Deterioration

Fadul¹,

Ali²,

Abdelrahman³

et al. 2023

Cureus

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Arachnoid cysts are relatively rare and usually asymptomatic. It can only be diagnosed through radiological imaging modalities. Some patients may develop symptoms such as seizures, headache, dizziness, or psychiatric symptoms.We present a case of a 25-year-old male, previously healthy, who presented with sudden, repetitive episodes of seizure without regaining his consciousness. Computed tomography (CT) head scan showed a large cystic lesion that showed a rightward midline shift. Treatment was done surgically via endoscopic fenestration, and the patient remained symptom-free for one year. Most arachnoid cysts tend to remain asymptomatic throughout a patient's life span, allowing them to lead everyday normal lives; however, when these symptoms surface, they tend to be of a sudden nature requiring urgent surgical intervention. Our report follows the case of a young patient whose symptoms appear suddenly with triggers that led to status epilepticus. Our patient continued to suffer from multiple seizure attacks despite being on multiple anticonvulsive medications, and his symptoms eventually subsided via surgical intervention.

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Section: Discussionmentioning

confidence: 99%