Abstract
Arachnoid cysts (ACs) produce symptoms (1) directly by compression of the adjacent brain, (2) indirectly by blockage of cerebrospinal fluid (CSF) pathways, or (3) by bleeding. Absolute indications for treatment of ACS include brain compression, increased intracranial pressure, and hydrocephalus. But not always can the presence of an AC be regarded as responsible for the patients’ presenting symptoms. Much controversy exists about the need for surgical treatment of these cysts. In addition, many ACs merely represent incidental findings.
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