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[Supratentorial extra-axial arachnoid brain cysts].

Iu A Orlov, I A Borisova

    Vrachebnoe Delo
    |December 1, 1990
    PubMed
    Summary

    Supratentorial extra-axial arachnoidal cysts are benign intracranial fluid collections. Surgical treatment varies by age, involving cyst wall excision and shunting, with cystoperitoneostomy in children but not adults.

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    Area of Science:

    • Neuroscience
    • Pediatric Neurosurgery
    • Cerebrospinal Fluid Dynamics

    Context:

    • Supratentorial extra-axial arachnoidal cysts are congenital, benign intracranial formations.
    • These cysts are filled with cerebrospinal fluid and their clinical presentation varies with patient age and complications.
    • Understanding cyst characteristics is crucial for effective management.

    Purpose:

    • To outline the pathogenetically justified surgical treatment for supratentorial extra-axial arachnoidal cysts.
    • To differentiate treatment strategies based on patient age (pediatric vs. adult).
    • To highlight the importance of cerebrospinal fluid shunting and cystoperitoneostomy.

    Summary:

    • Surgical treatment involves cyst wall excision and cavity decompression.
    • In pediatric patients, shunting to subarachnoidal spaces and basal cisternae, along with cystoperitoneostomy, is recommended.
    • Adult patients do not typically require additional cystoperitoneotomy.

    Impact:

    • Provides a clear surgical protocol for treating arachnoidal cysts based on age.
    • Aims to improve patient outcomes by employing age-specific, pathogenetically justified interventions.
    • Contributes to the neurosurgical literature on managing benign intracranial cysts.

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