The Evaluation of Arachnoid Cyst in Childhood

Yıl 2020, Cilt: 42 Sayı: 4, 418 - 427, 13.07.2020

Gül Deniz Coşkuner Suzan Şaylısoy , Coşkun Yarar , Kursat Çarman

https://doi.org/10.20515/otd.568473

Öz

Intracranial
arachnoid cysts are non-genetic cavities containing benign, sterile secretions
of cerebrospinal fluid surrounded by an arachnoid membrane. The prevalence of
arachnoid cysts is unknown in children. The aim of this study is to evaluate
the clinical features of children with arachnoid cysts. We retrospectively
reviewed the neuroimaging of 5360 patients aged between 1 months and 18 years,
retrospectively. 309 of these patients had arachnoid cyst. The incidence of arachnoid
cyst was 5.8%. The male/female ratio was 2: 1, and the mean age was 9.3 ± 5.0
years. The headache was the most common indication for neuroimaging. Arachnoid
cysts were most commonly found in the posterior fossa. Cyst size median was
found to be larger in patients who had headache complaints and those who had
surgery on positive physical examination (p <0.05). In our study, it was
determined that arachnoid cysts were a frequent neuroimaging finding in
pediatric patients and treatment was not required in the majority of cases. These
results, it is important to prevent unnecessary investigations and treatments.

Anahtar Kelimeler

Children, arachnoid cyst

Çocukluk Çağı Araknoid Kist Olgularının Değerlendirilmesi

Öz

İntrakraniyal araknoid
kistler iyi huylu, araknoid membranla çevrili serebrospinal sıvı benzeri steril
sekresyonlar içeren genetik olmayan kavitelerdir. Çocuklarda araknoid kist
sıklığı tam olarak bilinmemektedir. Bu
çalışmada nöroradyolojik incelemelerde araknoid kist saptanan çocuk olguların
klinik özelliklerinin değerlendirmesi amaçlanmaktadır. Çalışmada, yaşları 1
ay-18 yaş değişen 5360 hastaya 2010-2017 tarihleri arasında çekilen beyin
nörogörüntülemeleri retrospektif olarak incelendi. Bu
hastaların 309’unun incelemesinde araknoid kist saptandı. Araknoid kist sıklığı
%5,8 olarak saptandı. Erkek/kız oranı 2:1, ortalama yaş 9,3 ± 5,0 yıl  hesaplandı. En sık nörogörüntüleme endikasyonu
baş ağrısıydı. Araknoid kistler en sık posterior fossada bulunmaktaydı. Fizik muayenesinde pozitif bulgu saptanan olgularda, baş ağrısı
yakınması olanlarda, cerrahi uygulananlarda kist boyut ortancalarının daha
büyük olduğu belirlendi (p<0,05). Çalışmamız çocuk hastalarda
araknoid kistlerin sık bir nörogörüntüleme bulgusu olduğunu, olguların büyük
çoğunluğunda tedavi gerekmediği belirlenmiştir. Bu bugular gereksiz tetkik ve
tedavilerin önlenmesi açısından önemlidir.

Anahtar Kelimeler

Çocuk, Araknoid Kist, Nörogörüntüleme

Kaynakça

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