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Results of surgical treatment in patients with arachnoid cysts

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Summary

A retrospective study of 35 patients operated upon for arachnoid cysts during the last 10 years was carried out. In 19 patients treated by craniotomy, membrane resection and drainage into the basal cisterns, clinical improvement could be noted in 13 cases. Correspondingly on the CT-controls the cysts were found to have disappeared in two cases and were reduced in size in seven patients.

In 11 patients, however, who were initially treated by a shunting procedure, seven patients became free of symptoms. Postoperative CT-controls showed in three cases a significant reduction of the size of the cyst, which remained unchanged in two other cases.

In five patients with the combination of a nonspace-occupying arachnoid cyst and subdural effusions, drainage of the latter only was sufficient to relieve the clinical symptoms.

The prominent Endings were the high complication rate of the primary or secondary shunting procedures (48%), as well as the close correlation between the clinical outcome and the postoperative CT-controls.

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References

  1. Agnoli AL, Ellams ET (1984) Die Arachnoidalzysten. Fortschritte —Röntgenstrahlen 141: 5, 491–498. Thieme, Stuttgart

    Google Scholar 

  2. Agnoli AL (1984) Spontanes Hygrom bei intrakranieller Arachnoidalzyste. Digit Bilddiagnostik 4: 59–62. Thieme, Stuttgart

    Google Scholar 

  3. Atsuo K, Atsuo MD, Dirkan S, Horoupian MD, Kenneth Shulman (1977) Choroidal epithelial cyst. J Neurosurg 41: 955–969

    Google Scholar 

  4. Anderson FM, Segall D, Coton WL (1979) Use of computerized tomography scanning in supratentorial arachnoid cysts. J Neurosurg 50: 333–338

    PubMed  Google Scholar 

  5. Azar-Kia B, Palacios E, Cooper RA (1975) Anusual figures of leptomeningeal cysts. Am J Roentgenol 124: 287–291

    Google Scholar 

  6. Brackett CE, Rengachary SS (1982) Arachnoid cysts, chapter 38, Youman's Neurosurgical surgery (Sandner's company), volume 3, p 1436

  7. Bright R (1831) Serous cysts in the arachnoid. In: Longman, Rees, Orme, Brown, Green, Pater Noster-Row, Highley S (eds) Reports of medical cases elected with a view of illustrating the symptoms and cure of diseases by reference to morbid anatomy, vol II, Diseases of the brain and nervous system, Part I. London, pp 437–439

  8. Binitie O, Williams B, Case CP (1984) Suprasellar subarachnoid pouch; aetiological considerations. J Neurol Neurosurg Psychiatry 47: 1066–1074

    PubMed  Google Scholar 

  9. Chabannes J, Colnet G, Massini B (1981) Les kystes arachnoidiens aigus dans la pathologie traumatique vertébromédullaire. Neurochirurgie 27: 115–120

    Google Scholar 

  10. Cilluffo JM, Onofrio BM, Miller RH (1983) The diagnosis and surgical treatment of intracranial arachnoid cysts. Acta Neurochir (Wien) 67: 215–229

    Google Scholar 

  11. Crisi G, Calo M, DeSantis M, Angiari P, Merli GA (1984) Metrizamide-enhanced computed tomography of intracranial arachnoid cysts. J Comp Assist Tomogr 8 (5): 928–935

    Google Scholar 

  12. Drew JH, Grant FC (1948) Benign cysts of the brain, an analysis with comparison of results of operative and non-operative treatment in thirty cases. J Neurosurg 5: 107–123

    Google Scholar 

  13. Galassi E (1982) CT scan and metrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: classification and pathophysiological aspects. Surg Neurol 17: 363–369

    PubMed  Google Scholar 

  14. Huckman S, Davis O, Coxe WS (1970) Arachnoid cysts of the quadrigeminial plate. J Neurosurg 32

  15. Harsh GR, Edwards MSB, Wilson CB (1986) Intracranial arachnoid cysts in children. J Neurosurg 64: no. 6

    Google Scholar 

  16. Iglesias JR, Sanjuanbenito L, Martinez-Cubells J, Lousa M, Redondo C (1981) Intracerebral arachnoidal cysts containing choroid plexus. Acta Neurochir (Wien) 58: 229–234

    Google Scholar 

  17. Kazner E, Wende S, Grumme Th, Lanksch W, Stochdorph O (1982) Computer tomography in intracranial tumors. Springer, Berlin Heidelberg New York, p 423

    Google Scholar 

  18. Kuntzer Th, Assal G, de Tribolet N (1986) Kystes arachnoidiens intrâcraniens supratentoriels. Neurochirurgie 32: 235–241

    PubMed  Google Scholar 

  19. Kiyoshi Satoet al. (1983) Middle fossa arachnoid cyst: clinical, neuroradiological and surgical features. Child's Brain 10: 301–316

    PubMed  Google Scholar 

  20. Krawchenko J, Collins H (1979) Pathology of an arachnoid cyst. J Neurosurg 50: 224–228

    PubMed  Google Scholar 

  21. Lewis AJ (1962) Infantile hydrocephalus caused by arachnoid cyst. J Neurosurg 19: 431–434

    PubMed  Google Scholar 

  22. Little JR, Gomez R, McCarty CS (1973) Infratentorial arachnoid cysts. J Neurosurg 39: 380–386

    PubMed  Google Scholar 

  23. Mayr U, Aichner F, Bauer G, Mohsenipour J, Pallua A (1982) Supratentorial extracerebral cysts of the middle cranial fossa. Neurochirurgia 25: 51–56

    PubMed  Google Scholar 

  24. Van der Meché FGA, Braakman R (1983) Arachnoid cysts in the middle cranial fossa: cause and treatment of progressive and nonprogressive Symptoms. Neurol Neurosurg Psychiatry 46: 1102–1107

    Google Scholar 

  25. Peyser E, Weissberg D (1981) Posttraumatic arachnoidal cysts. Report of an unusual case. J Neurosurg 18: 551–553

    Google Scholar 

  26. Quain R (1855) Large cyst from the cavity of the arachnoid. Trans Pathol Soc London 6: 8–10

    Google Scholar 

  27. Rengachary SS, Watanabe J, Brackett ChE (1978) Pathogenesis of intracerebral arachnoid cysts. Surg Neurol 9: 139–144

    PubMed  Google Scholar 

  28. Stochdorph O (1977) Nervensystem. In: Eder M, Gedigk P (eds) Lehrbuch der allgemeinen Pathologie und pathologischen Anatomie. Springer, Berlin Heidelberg New York, p 481

    Google Scholar 

  29. Walsh J, Gilles FV, Welch K (1978) Infantile retrocerebellar cysts with immature neural tissue. J Neurosurg 48: 628–631

    PubMed  Google Scholar 

  30. Weinman F (1965) Arachnoidal cysts in the Sylvian fissure of the brain. J Neurosurg 22: 185–187

    PubMed  Google Scholar 

  31. Wolpert SM, Scott RM (1981) The value of metrizamide CT-cisternography in the management of cerebral arachnoid cysts. Am J Neuroradiol 15: 29–35

    Google Scholar 

  32. Zülch KJ (1956) Die Arachnitis (Arachnitis adhaesiva cystica). In: Handbuch der Neurchirurgie, III. Band: Pathologische Anatomie der raumbeengenden intrakraniellen Prozesse. Springer, Berlin Göttingen Heidelberg, pp 603–613

    Google Scholar 

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Author notes

  1. M. Lange & R. Oeckler

    Present address: Neurochirurgische Universitätsklinik, München, Germany

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    1. M. Lange
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    2. R. Oeckler
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    Lange, M., Oeckler, R. Results of surgical treatment in patients with arachnoid cysts. Acta neurochir 87, 99–104 (1987). https://doi.org/10.1007/BF01476059

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