Arachnoid cyst classification: Difference between revisions
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{{Arachnoid cyst}} | {{Arachnoid cyst}} | ||
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==Overview== | |||
Arachnoid cysts may be classified according to cause into 2 subtypes/groups: primary or secondary, or according to symptoms into 3 groups. | |||
== | == Classification == | ||
Arachnoid cysts can be | |||
=== Classification by cause === | |||
Arachnoid cysts can be classified by cause: | |||
* Primary: [[developmental]] cysts, formed during the formation of [[Arachnoid membrane|arachnoid membranes]] in [[Uterus|utero]]; | |||
* Secondary: appear after [[trauma]], [[infection]], [[Intracranial hemorrhage|hemorrhage]] or [[Neurosurgery|surgery]]. Much less common.<ref name=":0" /> | |||
=== Classification by symptoms === | |||
They can also be further classified regarding the symptoms that they cause, as proposed by Choi et al.: | |||
* First group: present with [[hydrocephalus]] and [[intracranial hypertension]]; | |||
* Second group: present with [[dizziness]], [[headaches]], large head, [[seizures]], [[strabismus]], [[developmental delays]] and [[skull]] deformation; | |||
* Third group: minimal or no [[symptoms]]. | |||
This classification is closely related with [[prognosis]]. Patients from the first group had significant improvement after surgery, the third group had a much smaller benefit while patients from the second group had minimal benefit.<ref name=":0">Fatima, Mustansir, Bashir Sanaullah, and Darbar Aneela. "Management of Arachnoid Cysts: A Comprehensive Review." ''Cureus'' (2018).</ref> | |||
=== Classification of spinal cysts === | |||
Nabors et al. suggested classifying arachnoid cysts of the [[spinal cord]] into three types: | |||
* Type I - [[extradural]] cysts without [[nerve root]] involvement; | |||
* Type II - extradural cysts with [[nerve root]] involvement; | |||
* Type III - intradural cysts.<ref>Kumar, Apoorva. "Spinal Arachnoid Cysts." ''Arachnoid Cysts''. Academic Press, 2018. 271-283.</ref> | |||
==References== | ==References== | ||
Latest revision as of 01:37, 30 June 2020
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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
Arachnoid cysts may be classified according to cause into 2 subtypes/groups: primary or secondary, or according to symptoms into 3 groups.
Classification
Classification by cause
Arachnoid cysts can be classified by cause:
- Primary: developmental cysts, formed during the formation of arachnoid membranes in utero;
- Secondary: appear after trauma, infection, hemorrhage or surgery. Much less common.[1]
Classification by symptoms
They can also be further classified regarding the symptoms that they cause, as proposed by Choi et al.:
- First group: present with hydrocephalus and intracranial hypertension;
- Second group: present with dizziness, headaches, large head, seizures, strabismus, developmental delays and skull deformation;
- Third group: minimal or no symptoms.
This classification is closely related with prognosis. Patients from the first group had significant improvement after surgery, the third group had a much smaller benefit while patients from the second group had minimal benefit.[1]
Classification of spinal cysts
Nabors et al. suggested classifying arachnoid cysts of the spinal cord into three types:
- Type I - extradural cysts without nerve root involvement;
- Type II - extradural cysts with nerve root involvement;
- Type III - intradural cysts.[2]