Arachnoid cyst CT

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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

On brain/spine CT scan, arachnoid cysts are characterized by cystic images with similar density to CSF and non-enhancing borders, mostly found in the middle cranial fossa while they only rarely occur in the spinal cord.

CT

  • Arachnoid cysts are cystic extra-axial lesions of the brain.
  • On CT scans they are observed with a similar density to CSF, with sharp non-enhancing borders.
  • The main differential diagnosis is the epidermoid cyst which present with irregular borders, while the arachnoid cyst is sharp but smooth. While the CT can is useful, an MRI is more precise on establishing its origin and location.

References

  1. "MedPix - Arachnoid Cyst". MedPix. 06/26/2020. Check date values in: |date= (help)
  2. Robertson, S. J., S. M. Wolpert, and V. M. Runge. "MR imaging of middle cranial fossa arachnoid cysts: temporal lobe agenesis syndrome revisited." American journal of neuroradiology 10.5 (1989): 1007-1010.
  3. "Arachnoid Cyst Imaging". Medscape. 06/26/2020. Check date values in: |date= (help)

CT Examples of Arachnoid Cysts

Picture taken from Radiopaedia
Picture taken from Radiopaedia