Med.Inter.Rev. 2016, 106, 11-19.

Arachnoid cysts of Sylvian fissure in pediatric population – difficulties in qualification for surgical treatment


HAŁABUDA Agata2, FRANCZAK-YOUNG Anita1, KLASA Łukasz1, WYROBEK Łukasz2, KAWECKI Zdzisław1, KWIATKOWSKI Stanisław1

  1. Department of Children’s Neurosurgery, Institute of Pediatrics, Jagiellonian University, Wielicka St. 30-663 Kraków, Poland
  2. Department of Radiology, Institute of Pediatrics, Jagiellonian University, 265 Wielicka St. 30-663 Kraków, Poland

Abstract
Most arachnoid cysts (AC-arachnoid cysts) are detected accidentally and usually remain clinically silent.

When they rarely present with symptoms , these are usually: signs of acute intracranial hypertension or the full spectrum of chronic or intermittent symptoms (headache, seizures, psychomotor retardation etc.). Cause-effect in the case of the latter presentation is still a matter of debate and uncertainty.

While in cases of acute intracranial hypertension surgery is necessary and lifesaving due to the severe condition of the patient and can be confirmed by imaging studies, determining  indications for surgery in the case of chronically elevated intracranial pressure is usually very difficult. Firstly, because of the wide variety of clinical symptoms, they do not represent a direct threat to the life of the patient. Secondly, the symptoms do not necessarily result from the cysts, they can be coincidental. Thirdly, brain CT and MR images are usually normal apart from the presence of an AC.

In this paper we would like to present our own experience in 3 cases of Sylvian fissure arachnoid cysts in children diagnosed and treated at the University Children’s Hospital in Krakow.

Keywords: Arachnoid cysts, subdural hematoma, brain global ischemia, intracranial hypertension


Oryginal language: English

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