JOCS
Journal of Comprehensive Surgery

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

eISSN: 2980-0862
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
Atypical arachnoid cyst with progression: a case report
Abstract
A 26-year-old female patient applied to the outpatient clinic in 2018 due to pain that had been present for a long time (16 years) and had recently spread from the top of the head to the nape of the neck. It was learned from the patient's anamnesis that her pain was relieved with analgesics. Although no pathological findings were found in the neurological examination, brain MRI was requested to reveal possible intracranial pathological conditions. In the MRI images taken, a cystic mass with a lobulated contour and thin septa of 24x31x40 mm and similar intensity to CSF was detected in the right parasagittal area posteriorly at the vertex level. The patient's control brain MRI images 3 months later showed no increase in cyst size. However, the patient's anamnesis, which came for a control in 2022, showed that his current complaints and headaches had increased. The MR images showed that the existing cyst had reached a size of approximately 60x35 mm. Medical treatment was initially planned for the patient (Acetazolamide, 750 mg/day). The MR taken one month later showed that there was no reduction in the cyst size and the optic discs were slightly swollen in the fundus examination. Considering the cyst growth, the patient's failure to benefit from medical treatment and the swelling noted in the optic discs, the patient was fitted with a cystoperitoneal shunt. The patient's early postoperative tomography image showed a significant reduction in the cyst (50.15x25.66) and a slightly swollen optic disc image with blurred borders was detected in the fundus examination. The patient's complaints regressed, and in the radiological images it was determined that the cyst continued to shrink [(45.8x23.19 mm) and (41.1x20.3 mm)], the shunt was in place, and she had no clinical complaints. As a result, it was argued that patients with atypically located arachnoid cysts, as in this case, should be taken under close clinical and radiological follow-up, and surgical treatment methods should definitely be considered in patients who are found to have an increase in cyst size and clinical findings during this follow-up and who do not respond despite medical treatment.

Keywords : Arachnoid cyst, cystoperitoneal shunt, papilledema

Download Article


1. Martínez-Lage JF, Pérez-Espejo MA, Almagro MJ, López-Guerrero AL.Hydrocephalus and arachnoid cysts. Childs Nerv Syst. 2011;27(10):1643-1652. doi: 10.1007/s00381-011-1481-2
2. Masoudi M, Yousefi O, Azami P. Results of surgical treatment inpatients with intracranial arachnoid cyst during last 5 years in a referralcenter in a developing country: Shiraz, Iran. World Neurosurg. 2021;150:e420-e426. doi: 10.1016/j.wneu.2021.03.038
3. Merola J, Manivannan S, Ooi S, et al. The efficacy of cystoperitonealshunting for the surgical management of intracranial arachnoid cystsin the elderly: a systematic review of the literature. Surg Neurol Int.2021;12:624. doi: 10.25259/SNI_463_2021
4. Chen Y, Fang HJ, Li ZF, et al. Treatment of middle cranial fossaarachnoid cysts: a systematic review and meta-analysis. WorldNeurosurg. 2016;92:480-490. doi: 10.1016/j.wneu.2016.06.046
5. Locatelli D, Bonfanti N, Sfogliarini R, Gajno TM, Pezzotta S. Arachnoidcysts: diagnosis and treatment. Childs Nerv Syst. 1987;3(2):121-124. doi:10.1007/BF00271139
6. Mustansir F, Bashir S, Darbar A. Management of arachnoid cysts:a comprehensive review. Cureus. 2018;10(4):e2458. doi: 10.7759/cureus.2458
7. Shim KW, Lee YH, Park EK, Park YS, Choi JU, Kim DS. Treatmentoption for arachnoid cysts. Childs Nerv Syst. 2009;25(11):1459-1466.doi: 10.1007/s00381-009-0930-7
8. Pradilla G, Jallo G. Arachnoid cysts: case series and review of theliterature. Neurosurg Focus. 2007;22(2):E7. doi: 10.3171/foc.2007.22.2.7
9. El Damaty A, Issa M, Paggetti F, Seitz A, Unterberg A. Intracranialarachnoid cysts: what is the appropriate surgical technique? Aretrospective comparative study with 61 pediatric patients. WorldNeurosurg X. 2023;19:100195. doi: 10.1016/j.wnsx.2023.100195
10. Rogers MA, Klug GL, Siu KH. Middle fossa arachnoid cysts inassociation with subdural haematomas. A review and recommendationsfor management. Br J Neurosurg. 1990;4(6):497-502. doi: 10.3109/02688699008993799
Article available in :
Volume 2, Issue 3, 2024
Page : 66-69
https://doi.org/10.51271/JOCS-0038
Article Information
Received : 19 Tem 2024
Accepted : 24 Ağu 2024
Published : 27 Ağu 2024
Corresponding Author :

Ahmet Melih Erdoğan: Department of Neurosurgery, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye

[email protected]
Citation : Yüksel U, Özdemir A, Erdoğan AM, Sevimoğlu Ö. Atypical arachnoid cyst with progression: a case report. J Compr Surg. 2024;2(3):66-69.

Read: 206
Cited: 0
Download : 177
_Footer