Arachnoid cyst history and symptoms: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(10 intermediate revisions by the same user not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Arachnoid cyst}}
{{Arachnoid cyst}}
{{CMG}}
{{CMG}} {{AE}} {{Jose}}


==Overview==
==Overview==
Patients with arachnoid cysts may never show symptoms, even in some cases where the cyst is large. Therefore, while the presence of symptoms may provoke further clinical investigation, symptoms independent of further data cannot, and should not be, interpreted as evidence of a cyst's existence, size or location.
Patients with [[Arachnoid cyst|arachnoid cysts]] will most likely never show [[symptoms]], even in cases where the cyst is large. Therefore, while the presence of symptoms may provoke further clinical investigation, symptoms independent of further data cannot, and should not be, interpreted as evidence of a cyst's existence, size or location.


==History and Symptoms==
==History and Symptoms==
Symptoms vary by the size and location of the cyst(s), though small cysts usually have no symptoms and are discovered only incidentally. On the other hand, a number of symptoms may result from large cysts:
*Cranial deformation or [[macrocephaly]] (enlargement of the head), particularly in children<ref name="azguide">Barker RA, Scolding N, Rowe D, Larner AJ. ''The A-Z of Neurological Practice: A Guide to Clinical Neurology'' [[Cambridge University Press]] 2005 Jan 10, p61. (ISBN 0-521-62960-8)</ref>
*Cysts in the suprasellar region in children have presented as bobbing and nodding of the head called [[Bobble-Head Doll Syndrome]].<ref name="azguide" />
*Cysts in the left middle cranial fossa have been associated with [[ADHD]] in a study on affected children.<ref>Millichap JG. "Temporal lobe arachnoid cyst-attention deficit disorder syndrome: role of the electroencephalogram in diagnosis", ''Neurology'' 1997 May;48(5):1435-9. (PMID 9153486)</ref>
*[[Headache]]s. While the most common symptom, a patient experiencing a headache does not necessarily have an arachnoid cyst. 
**In a 2002 study involving 78 patients with a migraine or tension-type headache, CT scans showed abnormalities in over a third of the patients, though arachnoid cysts only accounted for 2.6% of patients in this study.<ref>Valença MM, Valença LP, Menezes TL. "Computed tomography scan of the head in patients with migraine or tension-type headache", ''Arq Neuropsiquiatr.'' 2002 Sep;60(3-A):542-7. (PMID 12244387)</ref>
**A study found 18% of patients with intracranial arachnoid cysts had non-specific headaches.  The cyst was in the temporal location in 75% of these cases.<ref name="cameronad">Cameron AD. "Psychotic phenomena with migraine and an arachnoid cyst", ''Progress in Neurology and Psychiatry'' 2002 Mar-Apr 6(2) [http://www.escriber.com/Progress/Features.asp?Action=View&Archive=True&ID=67&GroupID=&Page=11 http://www.escriber.com/Progress/Features.asp? Action=View&Archive=True&ID=67&GroupID=&Page=11]</ref>
*[[Seizure]]s
*[[Hydrocephalus]] (excessive accumulation of cerebrospinal fluid)
*Increased [[intracranial pressure]]
*[[Developmental delay]]
*Behavioral changes
*[[Hemiparesis]] (weakness or paralysis on one side of the body)
*[[Ataxia]] (lack of muscle control)
*Musical [[hallucination]]<ref>Griffiths TD. "Musical hallucinosis in acquired deafness. Phenomenology and brain substrate.", ''Brain'', 2000 Oct;123 ( Pt 10):2065-76. (PMID 11004124)</ref>
*Pre-senile [[dementia]],<ref name="dementia">Richards G, Lusznat RM. "An arachnoid cyst in a patient with pre-senile dementia", ''Progress in Neurology and Psychiatry'', 2001 May-June;5(3) [http://www.escriber.com/Progress/Features.asp?Action=View&Archive=True&ID=29&GroupID=&Page=18 http://www.escriber.com/Progress/Features.asp? Action=View&Archive=True&ID=29&GroupID=&Page=18]</ref> a condition often associated with [[Alzheimer's disease]]
*In elderly patients (>65 years old) symptoms were similar to chronic [[subdural hematoma]] or normal pressure [[hydrocephalus]]:<ref name="eld">Yamakawa H, Ohkuma A, Hattori T, Niikawa S, Kobayashi H. "Primary intracranial arachnoid cyst in the elderly: a survey on 39 cases", ''Acta Neurochir (Wien).'' 1991;113(1-2):42-7. (PMID 1799142)</ref>
**Dementia
**[[Urinary incontinence]]
**Hemiparesis
**Headache
**Seizures


===Location-specific Symptoms===
* They usually develop in [[Uterus|utero]], during fetal life, but they can also develop after [[trauma]], surgeries or [[CNS]] [[infections]];
:''The following list of location-specific symptoms should be interpreted in the context of what they represent: results from several independent, unrelated studies.
*Usually arachnoid cysts are [[asymptomatic]], but in a few patients it may cause symptoms;
 
*Symptoms vary by the size and location of the cyst, though small cysts usually have no symptoms and are discovered only [[incidentally]].;
*A [[supratentorial]] arachnoid cyst can mimic a [[Ménière's disease]] attack.<ref>Buongiorno G, Ricca G. "Supratentorial arachnoid cyst mimicking a Ménière's disease attack", ''J Laryngol Otol.'' 2003 Sep;117(9):728-30. (PMID 14561365)</ref>
* Larger cysts are more likely to present with symptoms as they may compress surrounding structures.  
*Frontal arachnoid cysts have been associated with depression.<ref name="nbn">Cummings JL, Mega MS. ''Neuropsychiatry and Behavioral Neuroscience'', Oxford University Press, USA; 2Rev Ed, 2003 Jan 23;208. (ISBN 0-19-513858-9)</ref>
* These symptoms usually are:
*Cysts on the left temporal lobe have been associated with [[psychosis]].<ref>Alves da Silva J, Alves A, Talina M, Carreiro S, Guimarães J, Xavier M. "Arachnoid cyst in a patient with psychosis: a case report" ''Annals of General Psychiatry'' 2007, 6:16) [http://www.annals-general-psychiatry.com/content/6/1/16]</ref> <ref>Vakis AF, Koutentakis DI, Karabetsos DA, Kalostos GN. "Psychosis-like syndrome associated with intermittent intracranial hypertension caused by a large arachnoid cyst of the left temporal lobe", ''Br J Neurosurg.'' 2006 Jun;20(3):156-9. (PMID 16801049)</ref> A left fronto-temporal cyst more specifically showed symptoms of [[alexithymia]].<ref>Blackshaw S, Bowen RC. "A case of atypical psychosis associated with alexithymia and a left fronto-temporal lesion: possible correlations", ''Can J Psychiatry'' 1987 Nov;32(8):688-92. (PMID 3690485)</ref>
**[[Headache]];
*Cyst on the right [[sylvian fissure]] resulted in new onset of [[schizophrenia]]-like symptoms at age 61.<ref>Cullum CM, Heaton RK, Harris MJ, Jeste DV. "Neurobehavioral and neurodiagnostic aspects of late-onset psychosis", ''Arch Clin Neuropsychol.'' 1994 Oct;9(5):371-82. (PMID 14589653)</ref>
**[[Nausea]]/[[Vomiting]];
*A patient with a cyst on the left [[middle cranial fossa]] had [[auditory system|auditory]] [[hallucinations]], [[migraine]]-like headaches, and periodic [[paranoia]]<ref name="cameronad" />
**[[Seizures]];
*Patients with left temporal lobe cysts had mood disturbances similar to [[manic depression]] (bipolar disorder)<ref>Heinrichs, RW. ''In Search of Madness: Schizophrenia and Neuroscience'' Oxford University Press, USA (March 29, 2001); p129. (ISBN 0-19-512219-4)</ref>
**[[Skull]]/[[spine]] deformation;
**[[Developmental delays]];
**[[Obstructive hydrocephalus]];
**[[Hearing loss]];
** Head bobbing;
** Visual changes.<ref>{{Cite web|url=https://www.hopkinsmedicine.org/health/conditions-and-diseases/arachnoid-cysts|title=Arachnoid Cysts - Johns Hopkins Medicine|last=|first=|date=06/23/2020|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref><ref>Mustansir, Fatima, Sanaullah Bashir, and Aneela Darbar. "Management of arachnoid cysts: A comprehensive review." ''Cureus'' 10.4 (2018).</ref>
* The symptoms listed above may develop in kids after they are born, or in patients after they have suffered head trauma, [[CNS]] [[infections]]. This last group of patients usually does not present with [[skull]]/[[spine]] deformation or [[developmental delays]], as they have already fully developed after childhood but they can present with [[behavioral changes]].
* Spinal [[meningeal]] [[cysts]], a rare form of arachnoid cysts, usually present with progressive [[spastic]] or [[flaccid]] [[paraparesis]] or [[quadriparesis]] in the second decade of life. 10% may present with monoparesis.<ref>Kumar, Apoorva. "Spinal Arachnoid Cysts." ''Arachnoid Cysts''. Academic Press, 2018. 271-283.</ref>


==References==
==References==

Latest revision as of 02:05, 30 June 2020

Arachnoid cyst Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Classification

Causes

Differentiating Arachnoid cyst from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Diagnostic Study of Choice

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Arachnoid cyst history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Arachnoid cyst history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Arachnoid cyst history and symptoms

CDC on Arachnoid cyst history and symptoms

Arachnoid cyst history and symptoms in the news

Blogs on Arachnoid cyst history and symptoms

Directions to Hospitals Treating Arachnoid cyst

Risk calculators and risk factors for Arachnoid cyst history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2]

Overview

Patients with arachnoid cysts will most likely never show symptoms, even in cases where the cyst is large. Therefore, while the presence of symptoms may provoke further clinical investigation, symptoms independent of further data cannot, and should not be, interpreted as evidence of a cyst's existence, size or location.

History and Symptoms

References

  1. "Arachnoid Cysts - Johns Hopkins Medicine". 06/23/2020. Check date values in: |date= (help)
  2. Mustansir, Fatima, Sanaullah Bashir, and Aneela Darbar. "Management of arachnoid cysts: A comprehensive review." Cureus 10.4 (2018).
  3. Kumar, Apoorva. "Spinal Arachnoid Cysts." Arachnoid Cysts. Academic Press, 2018. 271-283.