Abstract
Imaging for arachnoid cysts (ACs) after surgery focuses on assessing for changes in cyst volume. Changes in volume are traditionally considered a marker of surgical success. This chapter provides an overview of relevant literature demonstrating that cysto-peritoneal shunting may provide a greater degree of cyst volume reduction than fenestration. However, multiple studies have demonstrated poor correlation between volume change and symptom improvement. The chapter will also discuss the timing of volume change post-operatively in cases of symptomatic ACs.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Al-Holou WN, Yew AY, Boomsaad ZE, Garton HJ, Muraszko KM, Maher CO. Prevalence and natural history of arachnoid cysts in children. J Neurosurg Pediatr. 2010;5(6):578–85.
Al-Holou WN, Terman S, Kilburg C, Garton HJ, Muraszko KM, Maher CO. Prevalence and natural history of arachnoid cysts in adults. J Neurosurg. 2013;118(2):222–31.
Ali M, Bennardo M, Almenawer SA, Zagzoog N, Smith AA, Dao D, et al. Exploring predictors of surgery and comparing operative treatment approaches for pediatric intracranial arachnoid cysts: a case series of 83 patients. J Neurosurg Pediatr. 2015;16(3):275–82.
Amelot A, Beccaria K, Blauwblomme T, Bourgeois M, Paternoster G, Cuny ML, et al. Microsurgical, endoscopic, and shunt management of pediatric temporosylvian arachnoid cysts: a comparative study. J Neurosurg Pediatr. 2019;23(6):749–57.
André A, Zérah M, Roujeau T, Brunelle F, Blauwblomme T, Puget S, et al. Suprasellar arachnoid cysts: toward a new simple classification based on prognosis and treatment modality. Neurosurgery. 2016;78(3):370–9; discussion 9-80.
Budday S, Ovaert TC, Holzapfel GA, Steinmann P, Kuhl E. Fifty shades of brain: a review on the mechanical testing and modeling of brain tissue. Arch Comput Methods Eng. 2020;27(4):1187–230.
Chen Y, Fang HJ, Li ZF, Yu SY, Li CZ, Wu ZB, et al. Treatment of middle cranial fossa arachnoid cysts: a systematic review and meta-analysis. World Neurosurg. 2016;92:480–90.e2.
Couvreur T, Hallaert G, Van Der Heggen T, Baert E, Dewaele F, Kalala Okito JP, et al. Endoscopic treatment of temporal arachnoid cysts in 34 patients. World Neurosurg. 2015;84(3):734–40.
Czosnyka M, Czosnyka ZH, Whitfield PC, Donovan T, Pickard JD. Age dependence of cerebrospinal pressure-volume compensation in patients with hydrocephalus. J Neurosurg. 2001;94(3):482–6.
Dang M, Modi J, Roberts M, Chan C, Mitchell JR. Validation study of a fast, accurate, and precise brain tumor volume measurement. Comput Methods Prog Biomed. 2013;111(2):480–7.
El-Ghandour NMF. Endoscopic treatment of intracranial cysts in infants: personal experience and review of literature. Childs Nerv Syst. 2021;37(11):3447–53.
Galarza M, Pomata HB, Pueyrredón F, Bartuluchi M, Zuccaro GN, Monges JA. Symptomatic supratentorial arachnoid cysts in children. Pediatr Neurol. 2002;27(3):180–5.
Gangemi M, Colella G, Magro F, Maiuri F. Suprasellar arachnoid cysts: endoscopy versus microsurgical cyst excision and shunting. Br J Neurosurg. 2007;21(3):276–80.
Gangemi M, Seneca V, Colella G, Cioffi V, Imperato A, Maiuri F. Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts. J Neurosurg Pediatr. 2011;8(2):158–64.
Gui S, Bai J, Wang X, Zong X, Li C, Cao L, et al. Assessment of endoscopic treatment for quadrigeminal cistern arachnoid cysts: a 7-year experience with 28 cases. Childs Nerv Syst. 2016;32(4):647–54.
Hall S, Smedley A, Rae S, Mathad N, Waters R, Chakraborty A, et al. Clinical and radiological outcomes following surgical treatment for intra-cranial arachnoid cysts. Clin Neurol Neurosurg. 2019;177:42–6.
Helland CA, Wester K. A population-based study of intracranial arachnoid cysts: clinical and neuroimaging outcomes following surgical cyst decompression in children. J Neurosurg. 2006;105(5 Suppl):385–90.
Helland CA, Wester K. Arachnoid cysts in adults: long-term follow-up of patients treated with internal shunts to the subdural compartment. Surg Neurol. 2006;66(1):56–61; discussion.
Helland CA, Wester K. Intracystic pressure in patients with temporal arachnoid cysts: a prospective study of preoperative complaints and postoperative outcome. J Neurol Neurosurg Psychiatry. 2007;78(6):620–3.
Helland CA, Wester K. A population based study of intracranial arachnoid cysts: clinical and neuroimaging outcomes following surgical cyst decompression in adults. J Neurol Neurosurg Psychiatry. 2007;78(10):1129–35.
Isaksen E, Leet TH, Helland CA, Wester K. Maze learning in patients with intracranial arachnoid cysts. Acta Neurochir. 2013;155(5):841–8. discussion 8.
Kandenwein JA, Richter HP, Börm W. Surgical therapy of symptomatic arachnoid cysts - an outcome analysis. Acta Neurochir. 2004;146(12):1317–22; discussion 22.
Karabagli H, Etus V. Success of pure neuroendoscopic technique in the treatment of Sylvian arachnoid cysts in children. Childs Nerv Syst. 2012;28(3):445–52.
Khan IS, Sonig A, Thakur JD, Nanda A. Surgical management of intracranial arachnoid cysts: clinical and radiological outcome. Turk Neurosurg. 2013;23(2):138–43.
Li Y, Chen X, Xu B. The efficacy of neuroendoscopic treatment for middle cranial fossa arachnoid cysts assessed by MRI 3D segmentation and modeling. Childs Nerv Syst. 2014;30(6):1037–44.
Ma G, Li X, Qiao N, Zhang B, Li C, Zhang Y, et al. Suprasellar arachnoid cysts in adults: clinical presentations, radiological features, and treatment outcomes. Neurosurg Rev. 2021;44(3):1645–53.
Maher CO, Goumnerova L. The effectiveness of ventriculocystocisternostomy for suprasellar arachnoid cysts. J Neurosurg Pediatr. 2011;7(1):64–72.
Merola J, Manivannan S, Ooi S, Chia WL, Makwana M, Lang J, et al. The efficacy of cystoperitoneal shunting for the surgical management of intracranial arachnoid cysts in the elderly: a systematic review of the literature. Surg Neurol Int. 2021;12:624.
Mørkve SH, Helland CA, Amus J, Lund-Johansen M, Wester KG. Surgical decompression of arachnoid cysts leads to improved quality of life: a prospective study. Neurosurgery. 2016;78(5):613–25.
Okano A, Ogiwara H. The effectiveness of microsurgical fenestration for middle fossa arachnoid cysts in children. Childs Nerv Syst. 2016;32(1):153–8.
Pitsika M, Sgouros S. Volume change of cranial arachnoid cysts after successful endoscopic fenestration in symptomatic children. Childs Nerv Syst. 2019;35(12):2313–8.
Rabiei K, Högfeldt MJ, Doria-Medina R, Tisell M. Surgery for intracranial arachnoid cysts in children-a prospective long-term study. Childs Nerv Syst. 2016;32(7):1257–63.
Rizk E, Chern JJ, Tagayun C, Tubbs RS, Hankinson T, Rozzelle C, et al. Institutional experience of endoscopic suprasellar arachnoid cyst fenestration. Childs Nerv Syst. 2013;29(8):1345–7.
Sack I, Streitberger KJ, Krefting D, Paul F, Braun J. The influence of physiological aging and atrophy on brain viscoelastic properties in humans. PLoS One. 2011;6(9):e23451.
Schulz M, Oezkan Y, Schaumann A, Sieg M, Tietze A, Thomale UW. Surgical management of intracranial arachnoid cysts in pediatric patients: radiological and clinical outcome. J Neurosurg Pediatr. 2021;2021:1–11.
Shim KW, Lee YH, Park EK, Park YS, Choi JU, Kim DS. Treatment option for arachnoid cysts. Childs Nerv Syst. 2009;25(11):1459–66.
St George E, Natarajan K, Sgouros S. Changes in ventricular volume in hydrocephalic children following successful endoscopic third ventriculostomy. Childs Nerv Syst. 2004;20(11-12):834–8.
Taha AA, Hanbury A. Metrics for evaluating 3D medical image segmentation: analysis, selection, and tool. BMC Med Imaging. 2015;15:29.
Tamimi AF, Al Ryalat NT, Al Qaisi AK, Juweid ME, Obeidat FN, Al Hyasat TG, et al. Microsurgical fenestration of intracranial arachnoid cysts: volumetric analysis and clinical outcome. Pediatr Neurosurg. 2021;56(1):35–44.
Tan Z, Li Y, Zhu F, Zang D, Zhao C, Li C, et al. Children with intracranial arachnoid cysts: classification and treatment. Medicine. 2015;94(44):e1749.
Wang Y, Wang F, Yu M, Wang W. Clinical and radiological outcomes of surgical treatment for symptomatic arachnoid cysts in adults. J Clin Neurosci. 2015;22(9):1456–61.
Xenos C, Sgouros S, Natarajan K, Walsh AR, Hockley A. Influence of shunt type on ventricular volume changes in children with hydrocephalus. J Neurosurg. 2003;98(2):277–83.
Zhang B, Zhang Y, Ma Z. Long-term results of cystoperitoneal shunt placement for the treatment of arachnoid cysts in children. J Neurosurg Pediatr. 2012;10(4):302–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Hall, S., Gaastra, B., Tsitouras, V. (2023). Follow-Up of Arachnoid Cysts: Brain Plasticity Following Surgery for 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_32
Download citation
DOI: https://doi.org/10.1007/978-3-031-22701-1_32
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-22700-4
Online ISBN: 978-3-031-22701-1
eBook Packages: MedicineMedicine (R0)