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Intracranial arachnoid cysts in adults
M Garcia-Bach1, F Isamat, F Vila
1Service of Neurosurgery, Hospital Princeps d'Espanya, University of Barcelona, Spain.
Acta Neurochirurgica. Supplementum
|January 1, 1988
Summary
Surgical excision of intracranial arachnoid cysts in adults offers gratifying results by creating wide communication with basal cisterns. This approach shows lower morbidity compared to shunt procedures for adult brain cyst treatment.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Intracranial arachnoid cysts are fluid-filled sacs within the brain.
- Adult symptomatology differs significantly from infantile presentations.
- Accurate diagnosis relies on advanced imaging like CT and NMR.
Purpose of the Study:
- To analyze the correlation between cyst size, location, and clinical manifestations in adult patients.
- To evaluate surgical treatment outcomes for intracranial arachnoid cysts in adults.
- To compare the efficacy of open excision versus shunt procedures.
Main Methods:
- Retrospective analysis of 22 adult cases with intracranial arachnoid cysts.
- Surgical treatment via open excision of cystic membranes.
- Establishment of wide communication with basal cisterns or subarachnoid space.
- Diagnosis confirmed using Computed Tomography (CT) and Nuclear Magnetic Resonance (NMR).
Main Results:
- Open excision with wide communication yielded highly gratifying surgical outcomes.
- Shunt-managed cases exhibited significantly higher morbidity rates.
- Correlation between cyst characteristics and clinical presentation was analyzed.
Conclusions:
- Open surgical excision is a highly effective treatment for adult intracranial arachnoid cysts.
- Minimally invasive techniques establishing subarachnoid communication are preferred over shunts.
- Understanding adult-specific cyst presentations is crucial for effective management.