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>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




ABSTRACT

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.


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