Abstract
Arachnoid cysts (ACs) are benign but rare neurological lesions. Most of these lesions are noticed incidentally in a widespread patient population undergoing evaluation for headache, trauma, tumor of the brain and spine as well as for nonspecific symptoms. Patients who remain asymptomatic for a long time occasionally undergo spontaneous resolution of the cyst which is preceded by a mild impact to the head or following surgery for brain tumor. Many times, the rupture of AC resulted in the development of a subdural effusion or a subdural hematoma. The ACs of the cerebral convexity in the middle cranial fossa, suprasellar as well as prepontine regions have been reported to undergo spontaneous resolution. The amount of literature available to date is sparse and is available mostly in the form of case reports as well as case series.
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References
Auer LM, Gallhofer B, Ladurner G, Sager WD, Heppner F, Lechner H. Diagnosis and treatment of middle fossa arachnoid cysts and subdural hematomas. J Neurosurg. 1981;54:366–9.
Azab WA, Almanabri M, Yosef W. Endoscopic treatment of middle fossa arachnoid cysts. Acta Neurochir (Wien). 2017;159:2313–31.
Bamber NI, Prabhu VC. Spontaneous resolution of a posterior fossa arachnoid cyst following a closed head injury: a case report. J Neurosurg Imaging Techniques. 2016;1:84–8.
Basaldella L, Orvieto E, Tos AP, Barbera MD, Valente M, Longatti P. Causes of arachnoid cyst development and expansion. Neurosurg Focus. 2007;2:E4.
Beltramello A, Mazza C. Spontaneous disappearance of a large middle fossa arachnoid cyst. Surg Neurol. 1985;24:181–3.
Bristol RE, Albuquerque FC, McDougall C, Spetzler RF. Arachnoid cysts: spontaneous resolution distinct from traumatic rupture. Neurosurg Focus. 2007;22:E2.
Chen Y, Fang HJ, Li ZF. Treatment of middle cranial fossa arachnoid cysts: a systematic review and meta-analysis. World Neurosurg. 2016;92:480–90.
Choi JW, Lee JY, Phi JH, Kim SK, Wang KC. Stricter indications are recommended for fenestration surgery in intracranial arachnoid cysts of children. Childs Nerv Sys. 2015;31:77–86.
Cinalli G, Cappabianca P, de Falco R. Current state and future development of intracranial neuroendoscopic surgery. Expert Rev Med Devices. 2005;2:351–73.
Cinalli G, Spennato P, Columbano L. Neuroendoscopic treatment of arachnoid cysts of the quadrigeminal cistern: a series of 14 cases. J Neurosurg Pediatr. 2010;6:489–97.
Cokluk C, Senel A, Celik F, Ergur H. Spontaneous disappearance of two asymptomatic arachnoid cysts in two different locations. Minim Invasive Neurosurg. 2003;46:110–2.
Dodd RL, Barnes PD, Huhn SL. Spontaneous resolution of a prepontine arachnoid cyst. Case report and review of the literature. Pediatr Neurosurg. 2002;37:152–7.
Dyck P, Gruskin P. Supratentorial arachnoid cysts in adults. Arch Neurol. 1977;34:276–9.
Fitzpatrick MO, Barlow P. Endoscopic treatment of prepontine arachnoid cysts. Br J Neurosurg. 2001;15:234–8.
Galassi E, Tognetti F, Gaist G, Fagioli L, Frank F, Frank G. CT scan and metrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: classification and pathophysiological aspects. Surg Neurol. 1982;17:363–9.
Gui SB, Wang XS, Zong XY, Zhang YZ, Li CZ. Suprasellar cysts: clinical presentation, surgical indications, and optimal surgical treatment. BMC Neurol. 2011;11:5.
Inoue T, Matsushima T, Tashima S, Fukui M, Hasuo K. Spontaneous disappearance of a middle fossa arachnoid cyst associated with subdural hematoma. Surg Neurol. 1987;28:447–50.
Kato M, Nakada Y, Ariga N, Kokubo Y, Makino H. Prognosis of four cases of primary middle fossa arachnoid cyst in children. Childs Brain. 1980;7:195–204.
Liu Z, Li J, Xu J. Teaching neuroimages: spontaneous resolution of a giant intracranial arachnoid cyst. Neurology. 2016;86:199–200.
McDonald PJ, Rutka JT. Middle cranial fossa arachnoid cysts that come and go. Report of two cases and review of the literature. Pediatr Neurosurg. 1997;26:48–52.
Mokri B, Houser OW, Dinapoli RP. Spontaneous resolution of arachnoid cysts. J Neuroimaging. 1994;4:165–8.
Moorthy S, Garg K, Aggarwal A, Kale SS, Sharma BS, Mahapatra AK. Spontaneous resolution of a spinal arachnoid cyst. Neurology India. 2017;65:1416–7.
Mori K, Yamamoto T, Horinaka N, Maeda M. Arachnoid cyst is a risk factor for chronic subdural hematoma in juveniles: twelve cases of chronic subdural hematoma associated with arachnoid cyst. J Neurotrauma. 2002;19:1017–27.
Mori T, Fujimoto M, Sakae K, Sakakibara T, Shin H, Yamaki T, et al. Disappearance of arachnoid cysts after head injury. Neurosurgery. 1995;36:938–42.
Pandey P, Tripathi M, Chandra PS, Sigh VP, Mehta VS. Spontaneous decompression of a posterior fossa arachnoid cyst: a case report. Pediatr Neurosurg. 2001;35:162–3.
Parsch CS, Krauss J, Hofmann E, Meixensberger J, Roosen K. Arachnoid cysts associated with subdural hematomas and hygromas: analysis of 16 cases, long-term follow up, and review of the literature. Neurosurgery. 1997;40:483–90.
Prabhu VC, Bailes JE. Chronic subdural hematoma complicating arachnoid cyst secondary to soccer-related head injury: case report. Neurosurgery. 2002;50:195–7.
Pradilla G, Jallo G. Arachnoid cysts. Case series and review of the literature. Neurosurg Focus. 2007;22:E7.
Przybylo HJ, Radkowski MA, Przybylo J, McLone D. Spontaneous resolution of an asymptomatic arachnoid cyst. Pediatr Neurosurg. 1997;26:312–4.
Rakier A, Feinsod M. Gradual resolution of an arachnoid cyst after spontaneous rupture into the subdural space. Case Rep. 1995;83:1085–6.
Robinson RG. The temporal lobe agenesis syndrome. Brain. 1964;87:87–106.
Russo N, Domenicucci M, Rojas Beccaglla M, Santoro A. Spontaneous reduction of intracranial arachnoid cysts: a complete review. Br J Neurosurg. 2008;22:626–9.
Schroeder HW, Gaab MR. Endoscopic observation of a slit-valve mechanism in a suprasellar prepontine arachnoid cyst: case report. Neurosurgery. 1997;40:198–200.
Seizeur R, Forlodou P, Coustans M, Dam-Hein P. Spontaneous resolution of arachnoid cyst: review and features of an unusual case. Acta Neurochir (Wein). 2007;19:361–4.
Shida N, Nakasato N, Mizoi K, Kanaki M, Yoshimoto T. Symptomatic vessel narrowing caused by spontaneous rupture of craniopharyngioma cyst-case report. Neurol Med Chir (Tokyo). 1998;38:666–8.
Sommer IE, Smit LM. Congenital supratentorial arachnoidal and giant cysts in children: a clinical study with arguments for a conservative approach. Childs Nerv Syst. 1997;13:8–12.
Takagi K, Sasaki T, Basugi N. Spontaneous disappearance of cerebellopontine angle arachnoid cyst: report of a case (in Japanese). No Shinkei Geka. 1987;15:295–9.
Takizawa H, Sugiura K, Kudo C, Kadoyama S. Spontaneous disappearance of a middle fossa arachnoid cyst—a case report. No To Shinkei. 1991;43:987–9.
Tsuruda JS, Chew WM, Moseley ME, Norman D. Diffusion-weighted MR imaging of the brain: value of differentiating between extraaxial cysts and epidermoid tumors. AJNR Am J Neuroradiol. 1990;11:925–34.
Turgut M. Complete spontaneous resolution of an intra-axial cystic lesion in the cerebellum: a case report. Curr Pediatr Res. 2002;6:33–4.
Weber R, Voit T, Lumenta C, Lenard HG. Spontaneous regression of a temporal arachnoid cyst. Childs Nerv Syst. 1991;7:414–5.
Wester K, Gilhus NE, Hugdahl K, Larsen JL. Spontaneous disappearance of an arachnoid cyst in the middle intracranial fossa. Neurology. 1991;41:1524–6.
Yamanouchi Y, Someda K, Oka N. Spontaneous disappearance of middle fossa arachnoid cyst after head injury. Childs Nerv Syst. 1986;2:40–3.
Yamauchi T, Saeki N, Yamaura A. Spontaneous disappearance of temporo-frontal arachnoid cyst in a child. Acta Neurochir (Wien). 1999;141:537–40.
Yoshioka H, Kurisu K, Arita K, Eguchi K, Tominaga A, Mizoguchi N, et al. Spontaneous disappearance of a middle cranial fossa arachnoid cyst after suppurative meningitis. Surg Neurol. 1998;50:487–91.
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Maurya, V.P. et al. (2023). Spontaneous Resolution 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_13
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