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Supratentorial arachnoid cysts: Clinical and therapeutic remarks on 46 cases

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Summary

The authors report 46 cases of primary supratentorial arachnoid cysts. Thirty-two patients presented with symptomatic arachnoid cysts, which act as space-occupying lesions and were surgically treated by fenestration. 14 patients presented with a scarsity of symptoms; for this reason they were kept under control by periodical neuroradiological examination. After a long follow-up period (median 11 years), 97% of the operated patients presented neurological improvement and a decrease in the size of the cyst; none of the patients who were not operated on showed any variation in either neurological status or size of the cyst. The authors discuss their findings in the light of the published papers.

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References

  1. Aicardi J, Bauman F (1978) Supratentorial extracerebral cysts in infants and children. J Neurol Neurosurg Psichiatry 38: 57–68

    Google Scholar 

  2. Anderson FM, Sgal HD, Caton WL (1979) Use of computerized tomography scanning in supratentorial arachnoid cysts: a report on 20 children four adults. J Neurosurg 50; 333–338

    PubMed  Google Scholar 

  3. Auer LM, Gallhofer B, Ladurner G, Sager WD, Heppner F, Lechner H (1981) Diagnosis and treatment of middle cranial fossa arachnoid cysts and subdural hematomas. J Neurosurg 54: 366–369

    PubMed  Google Scholar 

  4. Bhandari YS (1972) Non-communicating supratentorial subarachnoid cyst. J Neurol Neurosurg Psychiatry 35: 763–770

    PubMed  Google Scholar 

  5. Choux M, Raybaud C, Pinsard N, Hassound J, Gambarelli D (1978) Intracranial supratentorial cyst in children excluding tumor and parasitic cysts. Chils Brain 4: 15–32

    Google Scholar 

  6. Clavel M, Taborga FG, Onzain I (1985) Arachnoid cysts as a cause of dementia in the elderly. Acta Neurochir (Wien) 78: 28–32

    Google Scholar 

  7. Dyck P, Gruskin P (1977) Supratentorial arachnoid cysts in adults: a discussion of two cases from a pathophysiologic and surgical perspective. Arch Neurol 34: 276–279

    PubMed  Google Scholar 

  8. Galassi E, Piazza G, Gaist G, Frank F (1980) Arachnoid cysts of the treated surgically. Surg Neurol 14: 211–219

    Google Scholar 

  9. Gallassi E, Giuliani G, Gaist G (1989) Arachnoid cysts of the middle cranial fossa: report on 53 pediatric cases and review of the entity. J Ped Neurosci 5: 137–155

    Google Scholar 

  10. Gandy SE, Heier L (1987) Clinical and magnetic resonance features of primary intracranial arachnoid cysts. Ann Neurol 21: 342–348

    PubMed  Google Scholar 

  11. Go KG, Houthoff HJ, Blaauw EH, Havinga P, Hartsuiker J (1984) Arachnoid cysts of the silvian fissure: evidence of fluid secretion. J Neurosurg 60: 803–810

    PubMed  Google Scholar 

  12. Harsh GR IV Edwards MSB, Wilson CB (1986) Intracranial arachnoid cysts in children. J Neurosurg 64: 835–842

    PubMed  Google Scholar 

  13. Hayashi T, Anegawa S, Honda E, Kuramoto S, Mori K, Murata T, Miwa S, Hinda H (1979) Clinical analysis of arachnoid cysts in the middle fossa. Neurochirurgia 22: 201–210

    PubMed  Google Scholar 

  14. Hoffman HJ, Hendrick EB, Humphreys RP, Armstrong EA (1982) Investigation and management of suprasellar arachnoid cysts. J Neurosurg 57: 597–602

    PubMed  Google Scholar 

  15. Hovind KH (1987) Editorial comment. Childs Nerv Syst 3: 124

    Google Scholar 

  16. Kaplan Bj, Mickle JP, Parkhurst R (1984). Cystoperitoneal shunting for congenital arachnoid cysts. Childs Brain 11: 304–311

    PubMed  Google Scholar 

  17. Locatelli D, Bonfanti N, Sfogliarini R, Gajno TM, Pezzott S (1987) Arachnoid cysts: diagnosis and treatment. Childs Nerv Syst 3: 121–124

    PubMed  Google Scholar 

  18. Lodrini S, Lasio G, Fornari, Miglivacca F (1985) Treatment of supratentorial primary arachnoid cysts. Acta Neurochir (Wien) 76: 105–110

    Google Scholar 

  19. Milhorat TH (1978) Pediatric neurosurgery. Contemp Neurol Ser 16: 192–197

    Google Scholar 

  20. Passero S, Filosomi G, Cioni R, Venturi C, Volpini B (1990) Arachnoid cysts of the middle cranial fossa: a clinicalradiological and follow-up study. Acta Neurol Scand 82: 94–100

    PubMed  Google Scholar 

  21. Plana JC, Clara JMC, Fernandez-Alvarez E (1983) Quistes arachnoideos intracraneales en el nino: revision de 34 observaciones. An Esp Pediatr 19: 459–470

    PubMed  Google Scholar 

  22. Punzo A, Conforti R, Martiniello D, Scuotto A, Bernini FP, Cioffi A (1992) Surgical indications for intracranial arachnoid cysts. Neurochirurgia 35: 35–42

    PubMed  Google Scholar 

  23. Raffel C, McComb G (1988) To shunt or to fenestrate: which is the best surgical treatment for arachnoid cysts in pediatric patients? Neurosurgery 23: 338–342

    PubMed  Google Scholar 

  24. Raimondi AJ, Simoji T, Gutierrez FA (1980) Suprasellar cysts: surgical treatment and results. Childs Brain 7: 57–72

    PubMed  Google Scholar 

  25. Rengachary SS, Watanabe I (1981) Ultrastructure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol 40: 61–83

    PubMed  Google Scholar 

  26. Robinson RG (1964) The temporal lobe agenesis syndrome. Brain 88: 87–110

    Google Scholar 

  27. Sekino T, Tanaka N, Kuwabara T, Masuda H, Kyuma Y, Murai M (1985) Intracranial arachnoid cyst: follow-up CT and clinical study. Nerv Syst 10: 75–85

    Google Scholar 

  28. Shaw CM, Alvord Jr EC (1977). Congenital arachnoid cysts and their differential diagnosis. In: Vinken PJ, Bruin GW (eds) Handbook of clinical neurology, Vol 31. Elsevier, New York, pp 75–136

    Google Scholar 

  29. Stein SC (1981) Intracranial developmental cysts in children: treatment by cystoperitoneal shunting. Neurosurgery 8: 647–650

    PubMed  Google Scholar 

  30. Tsuda T, Ueda S, Matsumoto K (1981) Clinicopathological study of the arachnoid cyst. Neurol Med Chir 21: 501–509

    Google Scholar 

  31. Yamakawa H, Ohkuma A, Hattori T, Niikawa S, Kobayashi H (1991) Primary intracranial arachnoid cyst in the elderly: a survey on 39 cases. Acta Neurochir (Wien) 113: 42–47

    Google Scholar 

  32. Weiner SN, Pearlstein AE, Eiber A (1987) MR imaging of intracranial arachnoid cysts. J Comput Assist Tomogr 11: 236–241

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Chair of Human Anatomy, Faculty of Pharmacy, University of Rome, Rome, Italy

    M. Artico

  2. Department of Neurological Sciences, Neurosurgery “La Sapienza”, University of Rome, Rome, Italy

    L. Cervoni, M. Salvati, F. Fiorenza & R. Caruso

Authors
  1. M. Artico
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  2. L. Cervoni
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  3. M. Salvati
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  4. F. Fiorenza
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  5. R. Caruso
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Artico, M., Cervoni, L., Salvati, M. et al. Supratentorial arachnoid cysts: Clinical and therapeutic remarks on 46 cases. Acta neurochir 132, 75–78 (1995). https://doi.org/10.1007/BF01404851

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