Arachnoid cyst history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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
- Symptoms vary by the size and location of the cyst, though small cysts usually have no symptoms and are discovered only incidentally.;
- They usually develop in utero, during fetal life, but they can also develop after trauma, surgeries or CNS infections;
- The natural history of arachnoid cysts is that a minority of them enlarges with time (10% according to Al-Holou et al., all of which presented in patients <3 years old), most of them remain stable, a small fraction of them may spontaneously rupture and some may undergo regression;[1]
- Larger cysts are more likely to present with symptoms as they may compress surrounding structures.
- These symptoms usually are:
- Headache;
- Nausea/Vomiting;
- Seizures;
- Skull/spine deformation;
- Developmental delays;
- Obstructive hydrocephalus;
- Hearing loss;
- Head bobbing;
- Visual changes.[2]
References
- ↑ Lim, Jeong-Wook, et al. "Is arachnoid cyst a static disease? A case report and literature review." Child's Nervous System35.2 (2019): 385-388.
- ↑ "Arachnoid Cysts - Johns Hopkins Medicine". 06/23/2020. Check date values in:
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