Skip to main content
  • 3860 Accesses

Abstract

Arachnoid cysts are congenital cerebrospinal fluid-filled lesions probably arising from anomalous splitting of the arachnoid during prenatal development [16]. In some cysts, a valve mechanism seems to play a major role in cyst enlargement [12, 13]. During life, these cysts may expand and cause symptoms by compressing the neighbouring brain structures or causing occlusive hydrocephalus. Therefore, they usually become symptomatic with signs of increased intracranial pressure. Furthermore, depending on their location, arachnoid cysts may cause seizures, hemisyndromes, increased head growth, ocular symptoms, cerebellar symptoms, endocrinological abnormalities, etc. Arachnoid cysts can be found anywhere in the brain, but are predominantly located in the Sylvian fissure [7]. With the increasing use of magnetic resonance (MR) imaging, arachnoid cysts are frequently discovered as an incidental finding. True congenital arachnoid cysts should be distinguished from acquired cysts which may occur after trauma, bleeding, or infection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 349.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 449.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 599.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Arai H, Sato K, Wachi A, Okuda O, Takeda N (1996) Arachnoid cysts of the middle cranial fossa: experience with 77 patients who were treated with cystoperitoneal shunting. Neurosurgery 39: 1108–1113

    Article  CAS  PubMed  Google Scholar 

  2. Caemaert J, Abdullah J, Calliauw L, Carton D, Dhooge C, van Coster R (1992) Endoscopic treatment of suprasellar arachnoid cysts. Acta Neurochir (Wien) 119: 68–73

    Article  CAS  Google Scholar 

  3. Cincu R, Agrawal A, Eiras J (2007) Intracranial arachnoid cysts: current concepts and treatment alternatives. Clin Neurol Neurosurg 109: 837–843

    Article  PubMed  Google Scholar 

  4. Ciricillo SF, Cogen PH, Harsh GR, Edwards MSB (1991) Intracranial arachnoid cysts in children. A comparison of the effects of fenestration and shunting. J Neurosurg 74: 230–235

    Article  CAS  PubMed  Google Scholar 

  5. Decq P, Brugiéres P, Le Guerinel C, Djindjian M, Kéravel Y, Nguyen JP (1996) Percutaneous endoscopic treatment of suprasellar arachnoid cysts: ventriculocystostomy or ventriculocystocisternostomy? Technical note. J Neurosurg 84: 696–701

    Article  CAS  PubMed  Google Scholar 

  6. Gangemi M, Colella G, Magro F, Maiuri F (2007) Suprasellar arachnoid cysts: endoscopy versus microsurgical cyst excision and shunting. Br J Neurosurg 21: 276–280

    Article  CAS  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  8. Hopf NJ, Perneczky A (1998) Endoscopic neurosurgery and endoscope-assisted microneurosurgery for the treatment of intracranial cysts. Neurosurgery 43: 1330–1336

    Article  CAS  PubMed  Google Scholar 

  9. Jallo GI, Woo HH, Meshki C, Epstein FJ, Wisoff JH (1997) Arachnoid cysts of the cerebellopontine angle: diagnosis and surgery. Neurosurgery 40: 31–38

    Article  CAS  PubMed  Google Scholar 

  10. Karabatsou K, Hayhurst C, Buxton N, O’Brien DF, Mallucci CL (2007) Endoscopic management of arachnoid cysts: an advancing technique. J Neurosurg 106: 455–462

    Article  PubMed  Google Scholar 

  11. Okumura Y, Sakaki T, Hirabayashi H (1995) Middle cranial fossa arachnoid cyst developing in infancy: case report. J Neurosurg 82: 1075–1077

    Article  CAS  PubMed  Google Scholar 

  12. Santamarta D, Aguas J, Ferrer E (1995) The natural history of arachnoid cysts: endoscopic and cine-mode MRI evidence of a slit-valve mechanism. Minim Invasive Neurosurg 38: 133–137

    Article  CAS  PubMed  Google Scholar 

  13. Schroeder HWS, Gaab MR (1997) Endoscopic observation of a slit-valve mechanism in a suprasellar prepontine arachnoid cyst: case report. Neurosurgery 40: 198–200

    Article  CAS  PubMed  Google Scholar 

  14. Schroeder HWS, Gaab MR, Niendorf W-R (1996) Neuroendoscopic approach to arachnoid cysts. J Neurosurg 85: 293–298

    Article  CAS  PubMed  Google Scholar 

  15. Schroeder HWS, Wagner W, Tschiltschke W, Gaab MR (2001) Frameless neuronavigation in intracranial endoscopic neurosurgery. J Neurosurg 94: 72–79

    Article  CAS  PubMed  Google Scholar 

  16. Starkman SP, Brown TC, Linell EA (1958) Cerebral arachnoid cysts. J Neuropathol Exp Neurol 17: 484–500

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag/Wien

About this chapter

Cite this chapter

Schroeder, H.W.S. (2009). Arachnoid Cysts. In: Sindou, M. (eds) Practical Handbook of Neurosurgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-84820-3_28

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-84820-3_28

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-84819-7

  • Online ISBN: 978-3-211-84820-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics