Presence Of Arachnoid Cyst Research Articles

Compare of Brain Anomalies and Psychopathology of Patients in a Psychiatric Clinic: A Retrospective Study

Background: In parallel with the development of neuroimaging methods, become increasingly possible to explore the relationship between mental disorders and structural brain lesions. It is aimed to examine the relationship between the clinicalfeatures and psychopathologies of psychiatric patients and their anomalies. Methods: Two hundred-six female patients who were treated in Clinic of Psychiatry, Rize Training and Research Hospital between01/Jan/2016 and 31/Dec/2021 and had brain magnetic resonance imaging (MRI) were included in this study. Sociodemographic and clinical characteristics data form was recorded for each patient. Simultaneously, the size and location of the anomalies were recorded by scanning the brain MRI. Results: When the brain MRI scans of the patients were evaluated, 56% of 206 patients had at least one of the related anomalies. Enlarged Virchow-Robin space (VRS) in 2.4%, mega cisterna magna (MCM) in 14.6%, total empty sella (ES) in 8.3%, partial ES in 27.7%, cavum vergae (CV) in 1.9%, hippocampal remnant cyst (HRC) in 17%and 6.8% had arachnoid cyst (AC) findings. When the sociodemographic data and clinical characteristics of the patients were compared with the brain MRI findings, a significant correlation was found between the presence of MCM and the use of antidepressant medication (p=0.026). A significant correlation was found between the presenceof AC, disease duration and regular treatment history (p=0.0002). No significant correlation was found between otherdata and MRI (p>0.05). Conclusions: In our study, it is noteworthy that a higher rate of anomaly was detected in brain imaging of caseswith a history of psychiatric diagnosisand treatment comparedto the general population.

Poszerzenie przestrzeni przymózgowej u niemowląt – problemy opiniodawcze

The study was an attempt to characterize symptoms and factors suggesting atraumatic cause of pericerebral space widening in infants. This heterogeneous group of disorders, rarely observed in forensic pathological practice, poses consultative problems, as it may be difficult to distinguish between spontaneous disease-related changes and traumatic complications, and differentiate accidental from non-accidental trauma. The study is based on the records of two cases submitted for examination in order to determine the degree of health impairment. In both cases, afemale infant was indicated as the injured person. Areview of medical records, particularly medical imaging findings, provided evidence to conclude that the subdural hygromas diagnosed in both infants had apost-traumatic origin. On that basis, factors were selected for consideration in medicolegal assessment, including history of head injury, retinal haemorrhage, presence of other external and internal injuries suggesting battered or shaken baby syndromes, onset and rate of symptom aggravation, perinatal anamnesis, presence of arachnoid cysts, and diseases from the group of metabolic defects.

Do the clinicoradiological outcomes of endoscopic fenestration for intracranial cysts count on age? An institutional experience.

The clinicoradiological outcome of endoscopic fenestration of intracranial cysts and predictors of an unfavorable outcome, including age, are under reported in the neurosurgical literature. In this cohort, our experience in the endoscopic fenestration of intracranial cysts is reviewed. Thirty consecutive patients treated with endoscopic fenestration for intracranial cysts were identified and analyzed. The study population in our series was followed clinically and radiographically. In this series, the overall resolution of clinical symptoms such as headache, seizures, and neurological deficits was 83%, P= 0.0001. The percentage of clinical resolution after endoscopic intervention was significantly higher (85% vs. 76%, P= 0.001) in arachnoid cysts compared to other cyst types. The reduction of arachnoid cyst size was significantly higher in adults with obstructive hydrocephalus compared to the children group (P = 0.037). In addition, requirement of a cystoperitoneal shunt placement (P = 0.0001) and its subsequent revision (P = 0.0001) was significantly lower in adults compared to children. Adults (P = 0.041), presence of an arachnoid cyst (P = 0.026), female gender (P = 0.016), and presence of communicative hydrocephalus (P = 0.015) were significant predictors for improvement in the symptoms of intracranial pressure. Lastly, adults (P = 0.028), presence of arachnoid cyst (P = 0.046), and presence of communicative hydrocephalus (P = 0.012) were significant positive predictors for shunt revision. This study revealed that endoscopic fenestration is an effective neurosurgical procedure for the management of intracranial cysts both in adults and children. Moreover, endoscopic fenestration is more beneficial in adults and patients with an arachnoid cyst compared to that in children and other cyst types, respectively.

Goldenhar syndrome with arachnoid cyst and hydrocephalous

Goldenhar syndrome is a rare disorder characterized by a wide spectrum of physical features particularly craniofacial. We report an infant with developmental delay, and seizures who had features of Goldenhar syndrome and had an arachnoid cyst. Though the syndrome itself is not very rare, the presence of arachnoid cyst and hydrocephalus prompted us to report this case. Arachnoid cyst relates to developmental errors in the neural crest and thus presence of arachnoid cyst in the index case supports the argument of neural migration defect in the pathogenesis in Goldenhar syndrome. Only one such case in the world literature has been reported earlier.

Use of Electroconvulsive Therapy in the Presence of Arachnoid Cyst

A caution is advised for the use of electroconvulsive therapy (ECT) in patients with space-occupying intracranial lesions. The use of ECT in the presence of arachnoid cyst has been reported only in 10 cases in the literature. Here, we report a case of severe depression with psychotic symptoms who was found to have an arachnoid cyst of 3.4 × 1.6 cm in the left temporal region. The patient received a course of 12 ECT treatments without any complications and had significant improvement in symptoms. Magnetic resonance imaging after completion of ECT did not reveal any change in size of the arachnoid cyst.

Intracranial arachnoid cyst with subdural hematoma

A case of a middle fossa arachnoid cyst associated with a post-traumatic subdural hematoma is reported, where the inner membrane of the hematoma did not entirely cover the cyst surface. At operation a third cavity was detected between the arachnoid cyst and the hematoma and it is postulated that the subdural hematoma was consequent to the developmental anomaly. We have reviewed 72 cases in the literature and discuss the management of subdural hematoma in the presence of arachnoid cysts.