Türk Nöroşirürji Dergisi 2023 , Vol 33 , Num 1
Arachnoid Cysts in Childhood Cases
Saim KAZAN1,Cengiz ÇOKLUK2
1Akdeniz Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Antalya, Türkiye
2Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Samsun, Türkiye
Although arachnoid cysts located intracranially are defined from different aspects in various clinical conditions, they are called by the same name. These formations are cystic arachnoidal membranous structures filled with cerebrospinal fluid in the normal subarachnoid space, cistern, and in some cases, the ventricle. Although there is no clear information about the etiopathogenesis, it is believed that the majority of the cases develop as primary or congenital. Our clinical experience shows that they are more common in boys than girls. They are also more likely to be detected on the left side and in the supratentorial region. The middle cranial fossa, suprasellar region, quadrigeminal plate, and posterior fossa are among the locations we frequently see. Intracranial arachnoid cysts are usually asymptomatic pathologies. Although rare, they may become symptomatic and need to be treated. In symptomatic cases, craniotomy and fenestration of the cystic structure into the normal subarachnoid space, endoscopic cystocisternal fenestration, and shunt techniques for transferring the cyst fluid to other body cavities are the main treatment options. When an intracranial arachnoid cyst is encountered in our clinical practice, it should not be forgotten that the indication for treatment should be evaluated in the light of the natural history of the lesion. Anahtar Kelimeler : Arachnoid cyst, Child, Clinical findings