Kystes arachnoïdiens et manifestations ophtalmologiques chez l’enfant : à propos de deux cas

Momtchilova, M.; Moussaoui, K.; Laroche, L.; Pelosse, B

doi:10.1016/j.jfo.2013.04.001

Cited by 4 publications

(6 citation statements)

References 15 publications

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“…However, if clinical and radiological findings suggest a deterioration of optic disk, endangering the functional prognosis, surgical decompression is then proposed with positive outcome in most cases. 1 …”

Section: Discussionmentioning

confidence: 99%

“…An early diagnosis, especially at the antenatal stage helps preserve the optic functions before the process reaches an advanced stage with irreversible damage. 1 …”

Section: Introductionmentioning

confidence: 99%

“…An early diagnosis, especially at the antenatal stage helps preserve the optic functions before the process reaches an advanced stage with irreversible damage. 1 The onset of the disease occurs generally early in childhood and the classic clinical manifestations consist of headaches and progressive loss of visual acuity (VA).…”

Section: Introductionmentioning

confidence: 99%

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Incidental optic nerve sheath arachnoid cyst: A rare case finding with literature review

Touarsa¹,

Ouali²,

Elkettani³

et al. 2022

SAGE Open Medical Case Reports

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Arachnoid cysts are the most common benign cystic abnormalities formed due to congenital splitting of the arachnoid layer. They comprise 1% of intracranial masses, and the orbital location is even more rarely reported in history especially in the pediatric population. They might be discovered as an asymptomatic finding on imaging performed for a concomitant condition or, in most reported cases, as a result of ophthalmic impairment. They can be isolated or associated with gliomas, neurofibromas, empty sella syndrome, and frontotemporal porencephalic cysts. Computed tomography scan shows a non-enhancing liquid cystic lesion, and magnetic resonance imaging remains the best assessment tool confirming the similarity of the fluid to cerebrospinal fluid and evaluating the optic nerves. Herein, we report the case of an incidental discovery of an intraorbital arachnoid cyst on magnetic resonance imaging in a 53-year-old woman with a history of epilepsy. No treatment was performed as the cystic formation was asymptomatic.

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Section: Discussionmentioning

confidence: 99%

“…An early diagnosis, especially at the antenatal stage helps preserve the optic functions before the process reaches an advanced stage with irreversible damage. 1 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incidental optic nerve sheath arachnoid cyst: A rare case finding with literature review

Touarsa¹,

Ouali²,

Elkettani³

et al. 2022

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…Meanwhile, in the literature, one can find many descriptions of individual cases of patients with arachnoid cysts, accompanied by visual disorders 5 – 7 , 9 , 10 . Ocular manifestations such as optic disc oedema, optic nerve hypoplasia, nystagmus, and/or oculomotor palsy may be present 20 . In our examined group of children, the most common symptom was a strabismus, occurring in 14 (53.9%) patients.…”

Section: Discussionmentioning

confidence: 99%

Ophthalmological symptoms in children with intracranial cysts

Więckowska

Glowka

Brązert

et al. 2017

Sci Rep

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The purpose of this study was to perform an ophthalmological assessment in children with intracranial cysts and to assess the correlation between the occurrence of cysts and visual disorders. The documentation of 46 children with intracranial cysts, monitored by the Children’s Outpatient Ophthalmology Clinic, Poznan, Poland was analysed. The best corrected visual acuity (BCVA), the alignment of the eyes, visual evoked potentials (VEP), comprehensive eye examination were performed in all patients. Additional ophthalmological tests were conducted to eliminate other causes of decreased visual acuity.Included in the final analysis were 26 children (52 eyes). The average age at the last visit was 10.3 years. Sixteen children (61.5%) had arachnoid cysts located in the posterior cranial fossa, 3 children (11.5%) in the middle cranial fossa, while 7 children (27%) had a pineal cyst. Decreased BCVA was found in 13 children, abnormal VEP in 13, strabismus in 14 patients (53.9%), nystagmus in 5 patients (19.2%), and double vision in 2 patients (7.7%). Numerous visual disorders in children with intracranial cysts suggest the necessity to carry out enhanced ophthalmological diagnostics in these patients. In the examined patient group, visual disorders occurred mostly in the case of arachnoid cysts of the posterior fossa.

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“…There is a variety of AC manifestations such as increased intracranial pressure (ICP), hydrocephalus, headaches, hemiparesis and ataxia. Ocular manifestations such as papilledema, optic nerve hypoplasia, nystagmus and/or oculomotor palsy [ 3 ] may be present. There may be no indication to treat ACs in the absence of the above ocular manifestations [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Visual evoked potentials in a diagnosis of a visual pathway dysfunction of a child with an arachnoid cyst

2014

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PurposeThe aim of this case report was to demonstrate the usefulness of the flash visual evoked potentials in monitoring the effects of intracranial hypertension in a preterm-born child with a congenital arachnoid cyst.Methods and resultsAt baseline, abnormalities were found in the right eye: exotropia and lack of foveal fixation. Visual acuity was not achieved. Pupillary responses were normal in both eyes. There was no evidence of nystagmus. Flash visual evoked potentials were normal and equal in both eyes. When repeated one year later the signal had deteriorated in both eyes; the peak times of N2 and P2 had increased. The increased VEP latencies were the only ocular signs noted. After referral to neurosurgery, intracranial hypertension was found and a shunt was performed.ConclusionsFlash visual evoked potentials may be a valuable test in monitoring patients with arachnoid cysts.

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Kystes arachnoïdiens et manifestations ophtalmologiques chez l’enfant : à propos de deux cas

Cited by 4 publications

References 15 publications

Incidental optic nerve sheath arachnoid cyst: A rare case finding with literature review

Incidental optic nerve sheath arachnoid cyst: A rare case finding with literature review

Ophthalmological symptoms in children with intracranial cysts

Visual evoked potentials in a diagnosis of a visual pathway dysfunction of a child with an arachnoid cyst

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