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Large arachnoid cysts at the cranial base

D C McCullough, J C Harbert, H J Manz

    Neurosurgery
    |January 1, 1980
    PubMed
    Summary

    Large cranial base arachnoid cysts in infants can cause brain displacement. Simple cystoperitoneal shunting offers a promising treatment option with good long-term outcomes for these macrocephaly cases.

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    Area of Science:

    • Neurosurgery
    • Pediatric Neurology
    • Radiology

    Background:

    • Macrocephaly in infants can be associated with large cranial base cysts.
    • Noncommunicating cysts at the cranial base can displace brain structures, leading to neurological deficits.

    Observation:

    • Two infants presented with macrocephaly due to large, bilateral, noncommunicating cranial base arachnoid cysts.
    • One infant developed hydrocephalus requiring ventriculoperitoneal shunting; the other received a cystoperitoneal shunt.

    Findings:

    • Both infants demonstrated positive outcomes following surgical intervention, with follow-up periods of 4 and 6 years.
    • These large arachnoid cysts pose risks of severe surgical complications and uncertain cure rates.

    Implications:

    • Systematic radiological investigation, including radionuclide cisternography and cystography, is recommended for diagnosis and therapeutic planning.
    • Simple cystoperitoneal shunting may be the preferred treatment for many large cranial base arachnoid cysts in infants.

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