Cerebral Arachnoid Cysts

Year 2016, , 259 - 268, 30.09.2016

Ersin Hacıyakupoğlu Derviş Yılmaz Burak Kınalı Ömer Eriçek Sebahattin Hacıyakupoğlu

https://doi.org/10.17827/aktd.29567

Abstract

Arachnoid cysts can occur through inflammatory, traumatic, chemical irritation, skin tumor and postoperative processes. It is diagnosed and differentiated by magnetic resonance imaging and computerized tomography from other lesions. Its differential diagnosis includes colloid cyst , craniopharyngioma, prosencephaly, holoprosencephaly , epidermoid cyst, hydatid cyst, low grade glial tumors, infarcts and subdural hygroma. Most of them are asymptomatic and diagnosed incidentally. Treatment methods such as simple cyst aspiration , total excision of the cyst, basal cysternostomy, ventricular fenestration, cysto or ventriculoperitoneal shunt can be performed by various endoscopic surgery and craniotomy. 

Keywords

Cerebral, arachnoid cyst, surgery, treatment

Serebral Araknoid Kistler

Abstract

Araknoid kistler inflamatuar, travmatik, kimyasal irritasyon, tümör ve postoperatuar süreçlerin sonunda gelişebilir. Tanı, magnetik resonans görünteleme ve bilgisayarlı tomografi ile konulur. Kolloid kist, kraniofaranjioma, prozensefali, holoprozensafali, korpus kallozum agnezisi, epidermoid kist, kist hidatik, düşük gradeli glial tümör, infarkt ve subdural higroma ile ayırıcı tanısı yapılmalıdır. Çoğu asemptomatik olup insidental olarak tanı konur. Tedavide, kistin aspirasyonu, kistin total eksizyonu, kistin fenestrasyonu (subaraknoid mesafeye, bazal sisternalara veya ventriküle)ve kisto veya ventriküloperitoneal şantlama kullanılabilir. Bu işlemler esnasında endoskopik yöntemler veya kraniotomi tercih edilebilir.

Keywords

Serebral, araknoid kist, cerrahi, tedavi.

References

• Algın O, Hakyemez B, Gökalp G, Kofralı E, Parlak M. Phase-contrast cine MRI versus MR Cisternography on the evaluation of the communication between intraventricular arachnoid cysts and neighbouring cerebrospinal fluid spaces. Neuroradiology. 2009,51:305-12.
• Çokluk C, Senel A, Çelik F, Ergur H. Spontaneous disappearance of two asymptomatic arachnoid cysts in two different locations. Minim Invasive Neurosurg. 2003;46:110-2.
• Crimmins DW, Pierre-Kahn A, Sainte-Rose C, Zerah M. Treatment of suprasellar cysts and patient outcome. J Neurosurg. 2006;105:107-14.
• Erşahin Y, Ksikçi H, Rüksen M, Aydin C, Mutluer S: Endoscopic treatment of suprasellar arachnoid cysts. Childs Nerv Syst. 2008;24:1013-20.
• 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;8:158-64.
• Mottolese C, Szathmari A, Simon E, Ginguene C, Ricci-Franchi and a cystoperitonel shunt with programmable valve to treat arachnoid cysts:experience and hypothesis. J Neurosurg Pediatr. 2010;5:408-14.
• Ogiwara H, Morota N, Joko M, Hirota K: Endoscopic fenestrations for suprasellar arachnoid cysts. J Neurosurg Pediatr. 2011;8:484-8.
• Galassi E, Tognetti F, Frank F, Fagioli L, Nasi MT, Gaist G. Infratentorial arachnoid cysts. J Neurosurg. 1985;63:219-17.
• Go KG, Houthoff HJ, Blaauw EH, Havinga P, Hartsuiker J. Arachnoid cysts of the Sylvian fissure Evidence of fluid secretion. J Neurosurg. 1984;60:803-10.
• Karnazes AC, Kei J, Le MV. Image Diagnosis: Arachnoid cysts. Perm J. 2015;19:110-1.
• Qi W, Zhao L, Fang J, Change X, Xu Y. Clinical characteristics and treatment stratagies for idiopathic spinal extradural arachnoid cyst : a single-center experience. Acta Neurochirurgica (wien). 2015;157:539-45.
• Candella S, Puerta P, Alamar M, Barcik U, Guillen A, Muchart J, Garcia-Fructuoso G, Ferrer- Rodrigez E. Epidemiology and classification of arachnoid cysts and children. Neurocirugia (Asturias, Spain). 2015;1130-73.
• Garcia-Conde M, Martin-Viota L. Arachnoid cysts: Embriology and pathology. Neurocirugia (Asturias Spain). 2015;26:137-42.
• Ciricillo FS, Cogen HP, Harsh RG, Edwards BSM. Intracranial arachnoid cysts in children: A comparison of the effects of fenestration and shunting. J Neurosurg. 1991;74:230-5.
• Müslüman MM, Yüce İ, Yılmaz A, Aydın Y. Travma sonrası Araknoid kistin spontan rezolüsyonu. Türk Nöroşirurji Dergisi. 201;21:46-8.
• Bahk WM, Pae CU, Chae JH, Jun TY, Kim KS. A case of brief psychosis associated with an arachnoid cyst. Psychiatry Clin. Neurosci. 2002;56:203-5.
• Demetriades AK, Mc Evoy AW, Kitchen ND. Subdural Haematoma associated with an arachnoid cyst after repetitive minor headind injury in ball games. Br J Sports Med. 2004;38:4-8.
• Çakır E, Kuzeyli K, Sayın OC, Peksoylu B, Karaarslan G. Arachnoid cyst rupture with subdural hygroma: case report and literature review. Neurochirurgia. 2003;14: 72-5.
• Kemerdere R, Kafadar AM, Erdinçer P. Araknoid kistlerde tedavi seçenekleri: Türk Nöroşirürrji Dergisi. 2013;23:220-5.
• Harsh IV GR, Edwards MSB, Wilson CB. Intracranial arachnoid cysts in children. J Neurosurg. 1986;64:835-42.
• Phanthumchinda K, Shuangshoti S, Kharoptham S. Posttraumatic arachnoid cyst at the cranial base with unusual manifestation. Surg Neurol. 1989;32:64-7.
• Correspondence Address / Yazışma Adresi
• Derviş Mansuri Yılmaz
• Çukurova Üniversitesi Tıp Fakültesi
• Beyin ve Sinir Cerrahisi Anabilim Dalı. Adana, Turkey
• e-mail: [e-mail]
• Geliş tarihi/ Received: 04.10.2015
• Kabul tarihi/Accepted: 28.11.2015