Abstract
Arachnoid cysts (ACs) are rare intracranial masses which most often are asymptomatic and diagnosed incidentally. With major advances in diagnostic tools especially in ultrasound during recent decades, prenatal diagnosis of fetal anomalies has been developed. Prenatal detection of ACs at distinct intracranial locations and even in early life of a first few months of gestational age has been promising. The most common worries of parents after detection of ACs during a routine fetal sonographic study are related to the natural course, outcome of ACs, and subsequently their decision about the fate of the pregnancy. Nevertheless, the etiology, pathogenesis, and natural course of ACs, the periodicity of clinical and radiological follow-up, and the expectant management and neurodevelopmental prognosis of these children are not precisely known. In this chapter, the prenatal detection and the postnatal course are described.
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References
Asimakopoulos G, Antsaklis P, Theodora M, Sindos M, Rodolakis A, Loutradis D, Daskalakis G. Prenatal diagnosis of a large suprasellar arachnoid cyst. HJOG. 2020;19(1):51–8.
Barjot P, Theobald PV, Refahi N, Delautre V, Herlicoviez M. Diagnosis of arachnoid cysts on prenatal ultrasound. Fetal Diagn Ther. 1999;14(5):306–9.
Basaldella L, Orvieto E, Dei Tos AP, Barbera MD, Valente M, Longatti P. Causes of arachnoid cyst development and expansion. Neurosurg Focus. 2007;22(2):E4, 1–4.
Beresford C, Hall S, Smedley A, Mathad N, Waters R, Chakraborty A, Sparrow OC, Tsitouras V. Prenatal diagnosis of arachnoid cysts: a case series and systematic review. Childs Nerv Syst. 2020;36:729–41.
Campbell S. Early prenatal diagnosis of neural tube defects by ultrasound. Clin Obstet Gynecol. 1977;20:351–9.
Campbell S. A short history of sonography in obstetrics and gynaecology. Facts Views Vis Obgyn. 2013;5(3):213–29.
Chen CP. Prenatal diagnosis of arachnoid cysts. Taiwan J Obstet Gynecol. 2007;46(3):187–98.
De Keersmaecker B, Ramaekers P, Claus F, Witters I, Ortibus I, Naulaers G, Van Calenbergh F, De Catte L. Outcome of 12 antenatally diagnosed fetal arachnoid cysts: case series and review of the literature. Eur J Paediatr Neurol. 2015;19(2):114–21.
Donald I, MacVicar J, Brown TG. Investigation of abdominal masses by pulsed ultrasound. Lancet. 1958;1:1188–95.
Elbers S, Furness M. Resolution of presumed arachnoid cyst in utero. Ultrasound Obstet Gynecol. 1999;14(5):353–5.
Garrison FH. An introduction to the history of medicine, revised and enlarged. 4th ed. Philadelphia: W.B. Saunders; 1929.
Goksu E, Kazan S. Spontaneous shrinkage of a suprasellar arachnoid cyst diagnosed with prenatal sonography and fetal magnetic resonance imaging: case report and review of the literature. Turk Neurosurg. 2015;25(4):670–3.
Hayward R. Prenatal diagnosis of neural tube defects. Prenat Diagn. 2009;29:396–401.
Langer B, Haddad J, Favre R, Frigue V, Schlaeder G. Fetal arachnoid cyst: report of two cases. Ultrasound Obstet Gynecol. 1994;4:68–72.
Lee JY, Kim JW, Phi JH, Kim SK, Cho BK, Wang KC. Enlarging arachnoid cyst: a false alarm for infants. Childs Nerv Syst. 2012;28:1203–11.
Liao Y, Wen H, Ouyang S, Yuan Y, Bi J, Guan Y, Fu Q, Yang X, Guo W, Huang Y, Zeng Q, Qin Y, Xiang H, Li S. Routine first-trimester ultrasound screening using a standardized anatomical protocol. Am J Obstet Gynecol. 2021;224(4):396.e1–15.
Nakamura Y, Mizukawa K, Yamamoto K, Nagashima T. Endoscopic treatment for a huge neonatal prepontine-suprasellar arachnoid cyst: a case report. Pediatr Neurosurg. 2001;35:220–4.
Santirocco M, Rodó C, Illescas T, Vázquez E, Garrido M, Higueras T, Arévalo S, Maiz N, Carreras E. Accuracy of prenatal ultrasound in the diagnosis of corpus callosum anomalies. J Matern Fetal Neonatal Med. 2021;34(3):439–44.
Tercanli S, Prüfer F. Fetal neurosonogaphy: ultrasound and magnetic resonance imaging in competition. Ultraschall Med. 2016;37(6):555–7.
Yahala O, Katorzac E, Zvic E, Berkenstadte M, Hoffmand C, Achirond R, Bar-Yosefa O. Prenatal diagnosis of arachnoid cysts: MRI features and neurodevelopmental outcome. Eur J Radiol. 2019;113:232–7.
Yin L, Yang Z, Pan Q, Zhang J, Li X, Wang F, Ye Y, Deng X, Hu C. Sonographic diagnosis and prognosis of fetal arachnoid cysts. J Clin Ultrasound. 2018;46(2):96–102.
Youssef A, D’Antonio F, Khalil A, Papageorghiou AT, Ciardulli A, Lanzone A, Rizzo G, Thilaganathan B, Pilu G. Outcome of fetuses with supratentorial extra-axial intracranial cysts: a systematic review. Fetal Diagn Ther. 2016;40:1–12.
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Nejat, F. (2023). Intrauterine Detection of Arachnoid Cysts. In: Turgut, M., Akhaddar, A., Turgut, A.T., Hall, W.A. (eds) Arachnoid Cysts. Springer, Cham. https://doi.org/10.1007/978-3-031-22701-1_15
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DOI: https://doi.org/10.1007/978-3-031-22701-1_15
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