Symptomatic And Radiological Evaluation Of Patients Undergoing Surgical Treatment And Follow-Up With The Diagnosis Of Sylvian Arachnoid Cyst

Research Article

Abstract

Objective: Arachnoid cysts are the most common intracranial cysts, constituting 1% of all intracranial space-occupying lesions. In this research, we aimed to analyze the treatment process, radiological findings, and clinical follow-up in our institution, who underwent surgical treatment with the diagnosis of arachnoid cyst cases in the last decade.

Materials & Methods: In this study, a total of 27 children who were admitted to Kartal Lütfi Kırdar City Hospital, University of Health Sciences due to arachnoid cyst cases and treated surgically by the Neurosurgery Clinic in the last decade have been analyzed retrospectively. The location of the arachnoid cyst before the operation, the classification of Galassi, age, gender, symptoms and signs, surgical technique, whether it is accompanied by additional pathology, whether it receives medical treatment, whether post-operative early or late complications develop, the need for the second operation, the change of symptoms and radiological findings in the postoperative period were recorded from patient files.

Results: Almost half of the patients (44.4%) were diagnosed incidentally, while 16.7% were female and 52.4% were male. However, the distribution of diagnoses between both genders was similar (p=0.12). When the additional pathologies in the cases were examined, an arachnoid cyst around the brain stem in 1 male patient and exophthalmos of the left eye in 1 male patient was detected. There was no additional pathology in the girls. The preoperative volumes were similar to those measured in the third month. The third-month volume was larger than the sixth-month and first-year volumes, and the sixth-month and first-year measurements were similar (preoperative ~ 3rd month > 6th month ~ 1 year, p=0.003).

Conclusion

As a result, it is important to evaluate all parameters, such as clinical findings, radiological findings, and location of the patients together. The most important goal in surgical treatment is to ensure normal brain development.