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[Intracranial arachnoid cysts. A review]
1Service de Neurochirurgie, Hôpital de la Salpêtrière, Paris. stephane.clemenceau@psl.ap-hop-paris.fr
Revue Neurologique
|September 16, 1999
Summary
Arachnoid cysts are congenital liquid formations diagnosed via CT scans and MRI. Symptomatic cases require surgery, with endoscopic fenestration showing promise for deep or ventricular cysts.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Context:
- Arachnoid cysts are increasingly diagnosed due to advanced imaging like CT and MRI.
- Their congenital origin is widely accepted, but pathophysiology remains unclear.
- Asymptomatic cysts typically require no intervention.
Purpose:
- To summarize the diagnostic and treatment modalities for arachnoid cysts.
- To highlight the role of imaging in diagnosis.
- To review surgical options for symptomatic arachnoid cysts.
Summary:
- Diagnosis of arachnoid cysts is facilitated by CT and MRI.
- Symptomatic arachnoid cysts often present with neurological signs, most commonly intracranial hypertension.
- Surgical interventions include cyst approach, shunting, and endoscopic fenestration.
Impact:
- Improved diagnostic rates for arachnoid cysts.
- Enhanced understanding of treatment options, particularly minimally invasive endoscopic fenestration.
- Potential for better patient outcomes with tailored surgical approaches.