Development of a middle fossa arachnoid cyst : A theory on its pathogenesis

The progression of congenital arachnoid cysts has seldom been documented. We report the case of a child who was diagnosed with arrested hydrocephalus at the age of 13 months. Neuroimaging studies performed when the girl was 22 months old showed the appearance of an arachnoid cyst in the right middle...

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Veröffentlicht in:Child's nervous system 1999-03, Vol.15 (2-3), p.94-97
Hauptverfasser: MARTINEZ-LAGE, J. F, RUIZ-MACIA, D, VALENTI, J. A, POZA, M
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container_title Child's nervous system
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creator MARTINEZ-LAGE, J. F
RUIZ-MACIA, D
VALENTI, J. A
POZA, M
description The progression of congenital arachnoid cysts has seldom been documented. We report the case of a child who was diagnosed with arrested hydrocephalus at the age of 13 months. Neuroimaging studies performed when the girl was 22 months old showed the appearance of an arachnoid cyst in the right middle fossa, while the previously enlarged ventricles seemed to have decreased in size. To the best of our knowledge, the paradoxical expansion of an arachnoid pouch following a reduction in the size of the ventricular system has not previously been documented. We advance the hypothesis that the development of some cases of arachnoid cyst might be pathogenically related to impaired CSF dynamics associated with pre-existing hydrocephalus. We also briefly review the pertinent literature on the formation and evolution of congenital cerebral arachnoid cysts.
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Arachnoid Cysts - diagnosis
Arachnoid Cysts - etiology
Arachnoid Cysts - surgery
Biological and medical sciences
Cerebrospinal Fluid Pressure - physiology
Cerebrospinal Fluid Shunts - methods
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Hydrocephalus - complications
Hydrocephalus - therapy
Infant
Magnetic Resonance Imaging
Medical sciences
Neurology
Peritoneum
Recurrence
Reoperation
Technetium Tc 99m Exametazime
Temporal Lobe - diagnostic imaging
Temporal Lobe - surgery
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
Treatment Outcome
Tumors of the nervous system. Phacomatoses
Wechsler Scales
title Development of a middle fossa arachnoid cyst : A theory on its pathogenesis
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