Management of Arachnoid Cysts: A Comprehensive Review

Mustansir, Fatima; Bashir, Sanaullah; Darbar, Aneela

doi:10.7759/cureus.2458

Cited by 71 publications

(85 citation statements)

References 25 publications

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“…Most small IAC are asymptomatic and do not require surgery. However, larger cysts can have a local mass effect on neurovascular structures, leading to neurological symptoms which warrant surgery [ 14 ]. Symptoms may include headaches/elevated ICP, hydrocephalus, or cystic rupture into the subdural space leading to subdural CSF hygroma or hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Intracranial Venous Sinus Stenting in Idiopathic Intracranial Hypertension: A Case Report and Review of the Literature

et al. 2021

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We describe a case of severe headaches, double vision, and progressive vision loss secondary to a ruptured intracranial cyst (IAC) in a 31-year-old woman with no relevant past medical history. The case is peculiar because drainage of the subdural hygroma led to a minimal improvement in vision with persistent elevated intracranial pressure (ICP). Further exploration revealed transverse sinus stenosis necessitating stenting. Evaluation post-stenting showed marked reduction of ICP and improvement in symptoms. This report underscores the importance of comprehensive work-up and suspicion of multiple underlying etiologies that may be crucial to complete resolution of presenting symptoms in some cases. We provide an overview of the clinical indications and evidence for venous sinus stenting in treating idiopathic intracranial hypertension (IIH).

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Section: Discussionmentioning

confidence: 99%

Intracranial Venous Sinus Stenting in Idiopathic Intracranial Hypertension: A Case Report and Review of the Literature

et al. 2021

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“…The secondary ones are less common and are associated with neoplasms, infections, bleeding, trauma or surgery. 2,3 Depending on their location and size, arachnoid cysts may become symptomatic.…”

Section: Discussionmentioning

confidence: 99%

“…They are usually asymptomatic lesions, but may become symptomatic depending on location and size. 3 There are several treatment options, including endoscopic or microsurgical fenestration, microsurgical excision and cyst shunt. We present a case of symptomatic arachnoid cyst in a very rare location that was treated by a strategy not described elsewhere.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Treatment of Meckel Cave Arachnoid Cyst: Case Report, Surgical Strategy and Literature Review

et al. 2020

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Arachnoid cysts are benign intracranial lesions. They are usually located in the middle fossa, but can be found in other locations. We present a case of symptomatic Meckel cave (MC) arachnoid cyst -a very rare location -and a treatment strategy not elsewhere described before for this condition. A 54-year-old female with trigeminal neuralgia with previous history of radiofrequency rhizotomy treatment 6 years before admission had been experiencing pain recurrence with progression, which required successive increases in carbamazepine dosage. Magnetic Resonance Imaging (MRI) showed dilatation of the right MC with extension to the petrous apex. The lesion was compatible with arachnoid cyst, and due to the worsening of the clinical condition, surgical treatment was chosen. Percutaneous puncture of the cyst through the foramen ovale with injection of intracystic fibrin sealant was performed. The patient woke up from anesthesia with pain improvement and was discharged asymptomatic the next day. After 12 months of follow-up, she remained pain-free. In the literature review, we found only eight cases reported as MC arachnoid cyst. These are likely to progress and become symptomatic owing to their communication with the subarachnoid space and a unidirectional valve mechanism. Pain improvement with this technique is probably secondary to the interruption of these mechanisms. ResumoOs cistos aracnoides são lesões intracranianas benignas. Geralmente estão localizados na fossa média, mas podem ser encontrados em outros locais. Apresentamos um caso de cisto aracnoide sintomático no cavum de Meckel (CM)localização muito rarae uma estratégia de tratamento nunca antes descrita para esta condição. Uma mulher de 54 anos com neuralgia do trigêmeo e histórico de tratamento com rizotomia por Keywords ► Meckel cave ► arachnoid cyst ► petrous apex cephaloceles ► trigeminal neuralgia ► percutaneous treatment

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“…Furthermore, suprasellar cysts' frequency and occurrence is 1.4% in adults and 2.6% in children [4][5][6]. The treatment has evolved over time; currently, it consists of either resection, shunting, or fenestration of the cyst [7]. Technological advances have increased safety and allowed minimally invasive approaches.…”

Section: Introductionmentioning

confidence: 99%

A Neuronavigation-Assisted Endoscopic Ventriculocystocisternostomy of a Suprasellar Arachnoid Cyst: A 2D Video Case Presentation

Daggubati

Boukerche

Rizk

2021

Cureus

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Background and Importance: Suprasellar arachnoid cysts are insidious and progressive ventricular cysts that cause hydrocephalus, ataxia, optic, and endocrinological symptoms. These cysts can be successfully treated via an endoscopic ventriculocystocisterostomy (VCC).Clinical Presentation: A three-year-old patient presented with emesis and bobble-head doll syndrome with a suprasellar arachnoid cyst. Through our video, we present our neuronavigation-assisted endoscopic VCC without cautery and the relevant neuroanatomy. Conclusion:Neuroendoscopic fenestration is a preferred approach over resection or shunting for a suprasellar arachnoid cyst. In addition, VCC has decreased recurrence and increased radiologic improvement over a ventriculocystostomy (VC).

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Management of Arachnoid Cysts: A Comprehensive Review

Cited by 71 publications

References 25 publications

Intracranial Venous Sinus Stenting in Idiopathic Intracranial Hypertension: A Case Report and Review of the Literature

Intracranial Venous Sinus Stenting in Idiopathic Intracranial Hypertension: A Case Report and Review of the Literature

Percutaneous Treatment of Meckel Cave Arachnoid Cyst: Case Report, Surgical Strategy and Literature Review

A Neuronavigation-Assisted Endoscopic Ventriculocystocisternostomy of a Suprasellar Arachnoid Cyst: A 2D Video Case Presentation

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