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Giant Arachnoid Cyst Presenting With Transient Facial Paresthesia: A Case Report
Ana Maria Carvalho1, Pedro Sá Almeida1, Rita G Magalhães1
1Internal Medicine, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Chaves, PRT.
Cureus
|March 20, 2026
Summary
Giant arachnoid cysts, fluid-filled brain lesions, often appear large on imaging but cause few symptoms. This case highlights that management should focus on symptom severity, not just cyst size, for optimal patient outcomes.
Area of Science:
- Neurosurgery
- Radiology
- Neurology
Background:
- Arachnoid cysts are common, benign cerebrospinal fluid-filled lesions.
- While typically asymptomatic, large arachnoid cysts can cause neurological symptoms due to mass effect.

