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

• Authors: Agata HAŁABUDA , Anita FRANCZAK-YOUNG , Łukasz KLASA , Łukasz WYROBEK , Zdzisław KAWECKI , Stanisław KWIATKOWSKI
• Languages of publication: EN

Abstracts

EN

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

EN

"brain global ischemia"; "intracranial hypertension; "subdural hematoma"; Arachnoid cysts"

Discipline

• MEDICINE: MEDICINE

• Publisher: ZOZ Ośrodek UMEA SHINODA-KURACEJO
• Journal: Medicina Internacia Revuo
• Year: 2016
• Volume: 27
• Issue: 106
• Pages: 11-19

Contributors

author

Agata HAŁABUDA

• Department of Radiology, Institute of Pediatrics, Jagiellonian University, 265 Wielicka St. 30-663 Kraków, Poland

author

Anita FRANCZAK-YOUNG

• Department of Children’s Neurosurgery, Institute of Pediatrics, Jagiellonian University, Wielicka St. 30-663 Kraków, Poland

author

Łukasz KLASA

• Department of Children’s Neurosurgery, Institute of Pediatrics, Jagiellonian University, Wielicka St. 30-663 Kraków, Poland

author

Łukasz WYROBEK

• Department of Radiology, Institute of Pediatrics, Jagiellonian University, 265 Wielicka St. 30-663 Kraków, Poland

author

Zdzisław KAWECKI

• Department of Children’s Neurosurgery, Institute of Pediatrics, Jagiellonian University, Wielicka St. 30-663 Kraków, Poland

author

Stanisław KWIATKOWSKI

• Department of Children’s Neurosurgery, Institute of Pediatrics, Jagiellonian University, Wielicka St. 30-663 Kraków, Poland

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• Document Type: article