Intracranial arachnoid cyst in a 28-year-old man. A clinical case with a fatal outcome
https://doi.org/10.20538/1682-0363-2024-3-163-171
Abstract
Most intracranial arachnoid cysts are thought to be non-tumorous, congenital, intra-arachnoid cerebrospinal fluid collections that account for about 1% of all intracranial space-occupying lesions. In children, the prevalence of this pathology is 2.6%; in adults, it reaches 1.4%. The disease is more often registered in men. Most often arachnoid cysts are supratentorial. Their most common locations are in the middle cranial fossa and the retrocerebellar cistern. Less often they can be detected on the convexity of the brain hemispheres; however, cases of arachnoid cysts at more unusual sites have also been described, including in newborns. The pathology is often characterized by an asymptomatic course, while certain symptoms may have an acute onset, which is due to compression of brain structures caused by the large cyst size.
This article describes a clinical case of a large intracranial arachnoid cyst in a 28-year-old man. It was not verified in the antemortem diagnosis, but was revealed according to the autopsy findings (macroscopic features of the cyst, histologic presentation with specific morphological changes, and findings of computed tomography of the cerebral hemispheres).
About the Authors
N. V. Krakhmal
Siberian State Medical University;
Cancer Research Institute, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation
Russian Federation
2, Moscow Trakt, Tomsk, 634050;
5, Kooperativny Str., Tomsk, 634009
S. S. Naumov
Siberian State Medical University
Russian Federation
Russian Federation
2, Moscow Trakt, Tomsk, 634050
K. S. Vtorushin
Siberian State Medical University
Russian Federation
Russian Federation
2, Moscow Trakt, Tomsk, 634050
T. R. Minekhanov
Siberian State Medical University
Russian Federation
Russian Federation
2, Moscow Trakt, Tomsk, 634050
M. V. Zavyalova
Siberian State Medical University;
Cancer Research Institute, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation
Russian Federation
2, Moscow Trakt, Tomsk, 634050;
5, Kooperativny Str., Tomsk, 634009
S. V. Vtorushin
Siberian State Medical University;
Cancer Research Institute, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation
Russian Federation
2, Moscow Trakt, Tomsk, 634050;
5, Kooperativny Str., Tomsk, 634009
References
1. Jafrani R., Raskin J.S., Kaufman A., Lam S. Intracranial arachnoid cysts: pediatric neurosurgery update. Surg. Neurol. Int. 2019;10:15. DOI: 10.4103/sni.sni_320_18.
2. Yildiz H., Erdogan C., Yalcin R., Yazici Z., Hakyemez B., Parlak M., Tuncel E. Evaluation of communication between intracranial arachnoid cysts and cisterns with phase-contrast cine MR imaging. AJNR Am. J. Neuroradiol. 2005;26(1):145–151.
3. Mustansir F., Bashir S., Darbar A. Management of Arachnoid Cysts: A Comprehensive Review. Cureus. 2018;10(4):e2458. DOI: 10.7759/cureus.2458.
4. Canty K.W., Shiroishi M.S., Zada G., Sharma S., Jimenez M.A. Bilateral arachnoid cyst-associated subdural fluid collections in an infant following TBI. J. Forensic Leg. Med. 2021;81:102189. DOI: 10.1016/j.jflm.2021.102189.
5. Al-Holou W.N., Terman S., Kilburg C., Garton H.J., Muraszko K.M., Maher C.O. Prevalence and natural history of arachnoid cysts in adults. J. Neurosurg. 2013;118(2):222–231. DOI: 10.3171/2012.10.JNS12548.
6. Qin X., Wang Y., Xu S., Hong X. Familial arachnoid cysts: a review of 35 families. Childs Nerv. Syst. 2019;35(4):607–612. DOI: 10.1007/s00381-019-04060-z.
7. Di Perna G., Piatelli G., Rossi A., Consales A., Fiaschi P., Castaldo M. et al. Retrocerebellar Arachnoid Cyst and Chiari Type 1 Malformation: 3 Pediatric Cases of Surgical Management Tailored to the Pathogenic Mechanism and Systematic Review of the Literature. World Neurosurg. 2021;148:44–53. DOI: 10.1016/j.wneu.2020.12.094.
8. Fewel M.E., Levy M.L., McComb J.G. Surgical treatment of 95 children with 102 intracranial arachnoid cysts. Pediatr. Neurosurg. 1996;25(4):165–173. DOI: 10.1159/000121119.
9. Al-Holou W.N., Yew A.Y., Boomsaad Z.E., Garton H.J., Muraszko K.M., Maher C.O. Prevalence and natural history of arachnoid cysts in children. J. Neurosurg. Pediatr. 2010;5(6):578–585. DOI: 10.3171/2010.2.PEDS09464.
10. Akutagawa K., Tamura G., Tsurubuchi T., Ishikawa E., Matsumura A., Inagaki T. Quadrigeminal arachnoid cyst with perinatal encephalocele. Childs Nerv. Syst. 2020;36(7):1393– 1397. DOI: 10.1007/s00381-020-04626-2.
11. Albakr A., Sader N., Lama S., Sutherland G.R. Interhemispheric arachnoid cyst. Surg. Neurol. Int. 2021;12:125. DOI: 10.25259/SNI_660_2020.
12. Endo M., Usami K., Masaaki N., Ogiwara H. A neonatal purely prepontine arachnoid cyst: a case report and review of the literature. Childs Nerv. Syst. 2022;38(9):1813–1816. DOI: 10.1007/s00381-022-05457-z.
13. Ichinose T., Miyashita K., Tanaka S., Oikawa N., Oishi M., Nambu I. et al. Recurrent Spinal Intramedullary Arachnoid Cyst: Case Report and Literature Review. World Neurosurg. 2020;138:68–72. DOI: 10.1016/j.wneu.2020.02.106.
14. De Longpre J. Large Arachnoid Cyst. N. Engl. J. Med. 2017;376(23):2265. DOI: 10.1056/NEJMicm1610483.
15. Fadul K.Y., Ali M., Abdelrahman A., I Ahmed S.M., Fadul A., Ali H., Elgassim M. Arachnoid cyst: a sudden deterioration. Cureus. 2023;15(3):e36552. DOI: 10.7759/cureus.36552.
16. Rabiei K., Tisell M., Wikkelsø C., Johansson B.R. Diverse arachnoid cyst morphology indicates different pathophysiological origins. Fluids Barriers CNS. 2014;11(1):5. DOI: 10.1186/2045-8118-11-5.
Review
For citations:
Krakhmal N.V., Naumov S.S., Vtorushin K.S., Minekhanov T.R., Zavyalova M.V., Vtorushin S.V. Intracranial arachnoid cyst in a 28-year-old man. A clinical case with a fatal outcome. Bulletin of Siberian Medicine. 2024;23(3):163-171. https://doi.org/10.20538/1682-0363-2024-3-163-171
Views:
249
Email this article 