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Incidental Intracranial Cysts in Children
Whitney E Muhlestein1, Cormac O Maher1
1Department of Neurosurgery, University of Michigan, 1500 East Medical Center Drive, SPC 5337, Ann Arbor, MI 48109, USA.
Pediatric Clinics of North America
|July 12, 2021
Summary
Benign intracranial cysts are increasingly found in children, often incidentally. Most require no treatment, but symptomatic cases may need neurosurgical evaluation or intervention.
Area of Science:
- Pediatric neurosurgery
- Neuroradiology
- Pediatric neurology
Background:
- Benign intracranial cysts are increasingly diagnosed in pediatric patients due to widespread neuroimaging.
- These cysts are frequently incidental findings during investigations for unrelated symptoms.
Purpose of the Study:
- To describe common benign intracranial cysts in children.
- To outline the diagnostic and management principles for these lesions.
Main Methods:
- Review of literature on pediatric intracranial cysts.
- Description of clinical presentation, imaging findings, and treatment options.
Main Results:
- Arachnoid cysts, choroid cysts, and pineal cysts are common benign intracranial lesions in children.
- Most cysts are asymptomatic and require no intervention.
- Symptomatic cysts, often due to mass effect, warrant neurosurgical assessment.
Conclusions:
- Many pediatric intracranial cysts are benign and require conservative management.
- Symptomatic lesions necessitate neurosurgical evaluation and potentially surgical treatment.
- Accurate diagnosis and appropriate follow-up are crucial for managing these common pediatric findings.
