Cirugía y Cirujanos

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirugía y Cirujanos >Year 2010, Issue 6

Vega-Sosa A, Obieta-Cruz E, Hernández-Rojas MA
Intracranial arachnoid cyst
Cir Cir 2010; 78 (6)

Language: Español
References: 41
Page: 556-562
PDF: 355.80 Kb.

Full text


Background: Arachnoid cysts contain a liquid similar to cerebrospinal fluid. Some communicate with the subarachnoid space and others do not. These cysts are reported to account for at least 1% of all intracranial mass lesions. Most patients present during the first two decades of life; however, presentation during adulthood is not uncommon.
Discussion: A literature review to identify studies relating to pathogenesis, epidemiology, genetics, presentation, radiology and treatment of arachnoid cysts was conducted and indicated that symptoms depend on size and location. When arachnoid cysts are symptomatic, they must be treated surgically. Surgical treatment of arachnoid cysts can be accomplished by cystoperitoneal shunting, fenestration of the cyst either by craniotomy or endoscopic techniques.
Conclusions: Currently, appropriate treatment is still controversial regarding which is the best technique. Expectative treatment should be considered in lower volume cysts and, even more, in asymptomatic patients diagnosed by other studies.

Key words: Arachnoid cysts, cystoperitoneal shunting, endoscopic fenestration.


  1. Rengachary SS, Watanabe I, Brackett CE. Pathogenesis of intracranial arachnoid cysts. Surg Neurol 1978;9:139-144.

  2. Villarejo F. Quistes aracnoideos intracraneales. En: Villarejo F, Martínez- Lage J, editores. Neurocirugía Pediátrica. Madrid: Ergon; 2001. pp. 127-130.

  3. Bright R. Reports of medical cases selected with a view of illustrating the symptoms and cure of diseases by a reference to morbid anatomy. In: Longman T, Ress A, Orme S, Brown F, Green S, eds. Diseases of the Brain and Nervous System. Vol. 2. London: Paternoster-Row and Highley; 1831. pp. 437-439.

  4. Demel R. Die meningitis serosa circumscripta cerebralis unter dem bilde des Hirntumors und ein beitrag zu ihrer Atiologie. Arch Klin Chir 1923;125:561-577.

  5. Frazier CH. Cerebral pseudotumors. Arch Neurol Psychiatry 1930;24:1117-1132.

  6. Robinson RG. The temporal lobe agenesis syndrome. Brain 1964;88:87-106.

  7. Rao G, Ichard R, Anderson CE, Feldstein NA, Brockmeyer DL. Expansion of arachnoid cyst in children. Report of two cases and review of the literature. J Neurosurg 2005;102:314-317.

  8. Di Rocco C. Arachnoid cysts. In: Youmans JR, ed. Youmans Neurological Surgery. Vol. II. 4th ed. Philadelphia: WB Saunders; 1997. pp. 967-994.

  9. Go KG, Houthoff HF, Blaauw EH, Havinga P, Harteniker J. Arachnoid cysts of the sylvian fissure. Evidence of fluid secretion. J Neurosurg 1984;60:803-813.

  10. Robinson RG. The temporal lobe agenesis syndrome. Brain 1964;88:87-106.

  11. Pomeranz S, Constantini S, Lubetzki-Korn I, Amir N. Familial intracranial arachnoid. Childs Nerv Syst 1991;7:100-102.

  12. Sinha S, Brown JIM. Familial posterior fossa arachnoid cyst. Childs Nerv Syst 2004;20:100-103.

  13. Martínez-Lage J, Poza M, Rodríguez-Costa T. Bilateral temporal arachnoid cyst in neurofibromatosis. J Child Neurol 1993;8:383-385.

  14. Artigas J, Ribes A, Rovira A, Lorente I, Briones MP. Aciduria glutárica tipo I con quistes aracnoideos. Rev Neurol 1995;23:153-156.

  15. Santamarta D, Aguas J, Ferrer E. The natural history of arachnoid cyst: endoscopic and cine-mode MRI evidence of a slit-valve mechanism. Minim Invasive Neurosurg 1995;38:133-137.

  16. Miyagami M, Tsubokawa T. Histological and ultrastructural findings of benign intracranial cysts. Noshuyo Byori 1993;10:151-160

  17. Sandberg DI, McComb JE, Krieger MD. Chemical analysis of fluid obtained from intracranial arachnoid cyst in pediatric patients. J Neurosurg 2005;103:427-432.

  18. Sundaran C, Paul TR, Raju BV, Ramakrishna MT, Sinha AK, Prasad VS, et al. Cyst of the central nervous system: a clinicopathologic study of 145 cases. Neurol India 2001;49:237-242.

  19. Oberbauer RW, Haase J, Pucher R. Arachnoid cyst in children: a European co-operative study. Childs Nerv Syst 1992;8:281-286.

  20. Gelabert M, Prieto A, González-García J, Abdulkader L, Pravos AG, García A. Quiste aracnoideo intraventricular en el adulto. Rev Neurol 1997;25:1095-1098.

  21. Gelabert M, García A, García A, Prieto A, González J, Bandín FJ, et al. Quiste aracnoideo interhemisférico aracnoideo en el anciano. Neurocirugia 1997;8:233-236.

  22. Wester K. Peculiarities of intracranial arachnoid cysts: location, sidedness, and sex distribution in 126 consecutive patients. Neurosurgery 1999;45:775-779.

  23. Mori K, Yamamoto T, Horinaka N, Maeda M. Arachnoid cyst is a risk factor for chronic subdural hematoma in juveniles: twelve cases of chronic subdural hematoma associated with arachnoid cyst. J Neurotrauma 2002;19:1017-1027.

  24. Poirrier AL, Ngosso-Tetanye I, Mouchamps M, Misson JP. Spontaneous arachnoid cyst rupture in a previously asymptomatic child: a case report. Eur J Paediatr Neurol 2004;8:247-251.

  25. Adan L, Bussieres L, Dinand V, Zerah M, Pierre-Khan A, Brauner R. Growth, puberty and hypothalamic-pituitary in child suprasellar arachnoid cyst. Eur J Pediatr 2000;159:348-355.

  26. Desai KI, Nadkarni TD, Muzumdar D, Goel A. Suprasellar arachnoid cyst presenting with bobble-head doll movements: a report of 3 cases. Neurol India 2003;51:407-409.

  27. Tsuboi Y, Hamada H, Hayashi N, Kurimoto M, Hirashima Y, Endo S. Huge arachnoid cyst in the posterior fossa: controversial discussion for selection of the surgical approach. Childs Nerv Syst 2005;21:259- 261.

  28. Galassi E, Fiazza G, Gaist G, Frank F. Arachnoid cysts of the middle cranial fossa: a clinical radiological study of 25 cases treated surgically. Surg Neurol 1980;14: 211-219.

  29. Arai H, Sato K. Posterior fossa cysts: clinical, neuroradiological and surgical features. Childs Nerv Syst 1991;7:156-164.

  30. Brookes ML, Jolesz FA, Patz S. MRI of pulsatile CSF motion within arachnoid cysts. Magn Reson Imaging 1988;6:575-584.

  31. Sommer IEC, Smith LME. Congenital supratentorial arachnoidal and giant cysts in children: a clinical study with arguments for a conservative approach. Childs Nerv Syst 1997;13:8-12.

  32. Beltramello A, Mazza C. Spontaneous disappearance of a large middle fossa arachnoid cyst. Surg Neurol 1985;24:181-183.

  33. Levy ML, Wang M, Aryan HE, Yoo K, Meltzer H. Microsurgical keyhole approach for middle fossa arachnoid cyst fenestration. Neurosurgery 2003;53:1138-1145.

  34. Germano A, Caruso G, Caffo M. The treatment of large supratentorial arachnoid cysts in infants with cyst peritoneal shunting and Hakim programmable valve. Childs Nerv System 2003;19:166-173.

  35. Helland CA, Wester K. Arachnoid cysts in adults: long-term follow-up of patients treated with internal shunts to the subdural compartment. Surg Neurol 2006;66:56-61.

  36. Wester K. Arachnoid cysts in adults: experience with internal shunts to the subdural compartment. Surg Neurol 1996;45:15-23.

  37. Choi JU, Kim DS, Huh R. Endoscopic approach to arachnoid cyst. Childs Nerv Syst 1999;15:285-291.

  38. Gangemi M, Colella G, Magro F, Maiuri F. Suprasellar arachnoid cysts: endoscopy versus microsurgical cyst excision and shunting. Br J Neurosurg 2007;21:276-280.

  39. Kirollos RW, Javadpour M, May P, Malluci C. Endoscopic treatment of suprasellar and third ventricle-related arachnoid cysts. Childs Nerv Syst 2001;17:713-718.

  40. Tirakotai W, Schulte DM, Bauer BL, Bertalanffy H, Hellwig D. Neuroendoscopic surgery of intracranial cysts in adults. Childs Nerv Syst 2004;20:842-851.

  41. Vega A, Cohn F, Diegopérez J, Zepeda E. Factores de riesgo asociados a las complicaciones del tratamiento quirúrgico de los quistes aracnoideos intracraneales en pacientes adultos. Análisis retrospectivo de una serie de casos. Neurocirugia 2009;20:454- 460.

>Journals >Cirugía y Cirujanos >Year 2010, Issue 6

· Journal Index 
· Links 

Copyright 2019