Abstract
GİRİŞ:
Bu
çalışmanın amacı çocuk hastalarda intrakraniyal araknoid kistlerin
lokalizasyonunu, cinsiyet dağılımını ve semptomlarını araştırmak ve orta
kranial fossa kistlerini Galassi tipine göre retrospektif olarak sınıflandırmaktır.
GEREÇ
VE YÖNTEMLER: Ocak 2017 - Ekim 2018 tarihleri
arasında yapılan beyin manyetik rezonans görüntüleme tetkikinde intrakranial
araknoid kist tespit edilen ortalama yaşı 7 olan toplam 193 hasta (65 kız, 128
erkek) retrospektif olarak değerlendirildi. 193 hastada toplam 209 kist
saptandı. 20 hastada birden fazla lokalizasyonda kist vardı.
BULGULAR:
Lezyonların lokalizasyonları; orta kranial fossa (n=109), posterior fossa (n =
59), frontal ve paryetal konveksite (n = 16), pontocerebellar (n = 14),
intraventriküler (n = 7), sylvian fissürü (n = 5), kuadrigeminal sistern (n =
4). 109 orta kranial fossa kistinin
Galassi tiplendirmesinde; tip 1 (n = 81), tip 2 (n = 19) ve tip 3 (n = 9). Baş
ağrısı ve nöbet en sık tanımladığımız semptomlardır. Tüm Galassi tip III
kistleri (9 hasta) orta hat şiftine, 6 intraventriküler kist hidrosefaliye
sebep olmuştur.
TARTIŞMA:
İntrakraniyal
araknoid kistler boyutları büyük değilse asemptomatik, nonneoplastik, benign,
eksatraaksiyel gelişimsel anomalilerdir. En sık görülen semptomlar baş ağrısı
ve nöbettir. Çoğu zaman masum bir süreç gibi gözükse de hidrosefali ve şift,
büyük boyutlu ve orta hat kistlerinde oluşabilecek ciddi bir sorundur. Beyin
MRG, lokalizasyon, boyut ve ilişkili beyin anomalileri veya lezyonların
tespiti, uzun süreli takip için güvenilir bir görüntüleme yöntemidir.
Keywords
References
- 1. Qi W, Zhao L, Fang J, Change X, Xu Y. Clinical characteristics and treatment stratagies for idiopathic spinal extradural arachnoid cyst: a single-center experience. Acta Neurochirurgica (wien) 2015;157:539-45.
- 2. Raffel C, McComb JG. Arachnoid cysts. In: Cheek W (ed). Pediatric Neurosurgery. Philadelphia: WB Saunders; 1994:104-10.
- 3. Rengachary SS, Watanabe I. Ultrastructure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol 1981;40:61-83.
- 4. Pascual-Castroviejo I, Roche MC, Bermejo AM, Arcas J, Garcia Blazquez M. Primary intracranial arachnoid cysts. A study of 67 childhood cases. Child’s Nerv Syst 1991;7:257-63.
- 5. Harding BN; Copp AJ. Malformations. In: Graham DI, Lantos PL editors, Greenfield's Neuropathology, 7th ed. Oxford University Press 2002; 451-52.
- 6. Barkovich AJ. Pediatric Neuroimaging.3rd ed. Phidalphia: Lippincott Williams&Wilkins, 2000; 592-95.
- 7. Galassi E, Tognetti F, Gaist G, Fagioli L, Frank F, et al. CT scan and metrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: classification and pathophysiological aspects. Surg Neurol. 1982; 17(5):363-9.
- 8. Chen CP. Prenatal diagnosis of arachnoid cysts. Taiwan J Obstet Gynecol. 2007; 46(3):187-98.
- 9. Patel TR, Bannister CM, Thorne J. A study of prenatal ultrasound and postnatal magnetic imaging in the diagnosis of central nervous system abnormalities. Eur J Pediatr Surg. 2003; 13 Suppl 1:S18-22
- 10. Choi.U.C, Kim S.D. Pathogenesis of arachnoid cyst: Congenital or traumatic? Pediatric Neurosurgery. 1998;29:260-6.
- 11. Öncel, Ç.H. Araknoid kistler. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2007;8(1):51-5.
- 12. Wester K. Peculiarities of intracranial arachnoid cysts: location, sidedness, and sex distribution in 126 consecutive patients. Neurosurgery. 1999; 45(4):775-9.
- 13. Helland CA, Wester K. A population based study of intracranial arachnoid cysts: clinical and neuroimaging outcomes following surgical cyst decompression in adults. J NeurolNeurosurg Psychiatry. 2007; 78(10):1129-35.
- 14. Wang P.J, Lin H.C, Liu H.M, Tseng C.L, Shen Y.Z. Intracranial arachnoid cysts in children: related signs and associated anomalies. Pediatr Neurolo 1998;19:100-4.15. Lütcherath V, Waaler P.E., Jellum E, Wester K. Children with bilateral temporal arachnoid cysts may have glutaric aciduria type 1 (GAT1); operation without knowing that may be harmful. Acta Neurochirurgica 2000;142:1025-30.
- 16. Atalar, M, Karakuş, K, Yıldız, B, Şalk, İ . Location, sidedness, and sex distribution of incidental intracranial arachnoid cysts in childhood: An MRI study. Cumhuriyet Medical Journal 2018;40: 25-33
- 17. Catala M, Poirier J. Arachnoid cysts: histologic, embryologic and physiopathologic review. Rev Neurol (Paris). 1998; 154(6-7):489-501.
- 18. Fewel ME, Levy ML, McComb JG. Surgical treatment of 95 children with 102 intracranial arachnoid cysts. PediatrNeurosurg. 1996; 25(4):165-73.
- 19. Erman T, Göçer I, Tuna M,Ergin M, Zorludemir S, Çetinalp E. Intracranial arachnoid cysts: clinical features and management of 35 cases and review of the literature. Neurosurgery Quarterly 2004;14:84-9.
Abstract
References
- 1. Qi W, Zhao L, Fang J, Change X, Xu Y. Clinical characteristics and treatment stratagies for idiopathic spinal extradural arachnoid cyst: a single-center experience. Acta Neurochirurgica (wien) 2015;157:539-45.
- 2. Raffel C, McComb JG. Arachnoid cysts. In: Cheek W (ed). Pediatric Neurosurgery. Philadelphia: WB Saunders; 1994:104-10.
- 3. Rengachary SS, Watanabe I. Ultrastructure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol 1981;40:61-83.
- 4. Pascual-Castroviejo I, Roche MC, Bermejo AM, Arcas J, Garcia Blazquez M. Primary intracranial arachnoid cysts. A study of 67 childhood cases. Child’s Nerv Syst 1991;7:257-63.
- 5. Harding BN; Copp AJ. Malformations. In: Graham DI, Lantos PL editors, Greenfield's Neuropathology, 7th ed. Oxford University Press 2002; 451-52.
- 6. Barkovich AJ. Pediatric Neuroimaging.3rd ed. Phidalphia: Lippincott Williams&Wilkins, 2000; 592-95.
- 7. Galassi E, Tognetti F, Gaist G, Fagioli L, Frank F, et al. CT scan and metrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: classification and pathophysiological aspects. Surg Neurol. 1982; 17(5):363-9.
- 8. Chen CP. Prenatal diagnosis of arachnoid cysts. Taiwan J Obstet Gynecol. 2007; 46(3):187-98.
- 9. Patel TR, Bannister CM, Thorne J. A study of prenatal ultrasound and postnatal magnetic imaging in the diagnosis of central nervous system abnormalities. Eur J Pediatr Surg. 2003; 13 Suppl 1:S18-22
- 10. Choi.U.C, Kim S.D. Pathogenesis of arachnoid cyst: Congenital or traumatic? Pediatric Neurosurgery. 1998;29:260-6.
- 11. Öncel, Ç.H. Araknoid kistler. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2007;8(1):51-5.
- 12. Wester K. Peculiarities of intracranial arachnoid cysts: location, sidedness, and sex distribution in 126 consecutive patients. Neurosurgery. 1999; 45(4):775-9.
- 13. Helland CA, Wester K. A population based study of intracranial arachnoid cysts: clinical and neuroimaging outcomes following surgical cyst decompression in adults. J NeurolNeurosurg Psychiatry. 2007; 78(10):1129-35.
- 14. Wang P.J, Lin H.C, Liu H.M, Tseng C.L, Shen Y.Z. Intracranial arachnoid cysts in children: related signs and associated anomalies. Pediatr Neurolo 1998;19:100-4.15. Lütcherath V, Waaler P.E., Jellum E, Wester K. Children with bilateral temporal arachnoid cysts may have glutaric aciduria type 1 (GAT1); operation without knowing that may be harmful. Acta Neurochirurgica 2000;142:1025-30.
- 16. Atalar, M, Karakuş, K, Yıldız, B, Şalk, İ . Location, sidedness, and sex distribution of incidental intracranial arachnoid cysts in childhood: An MRI study. Cumhuriyet Medical Journal 2018;40: 25-33
- 17. Catala M, Poirier J. Arachnoid cysts: histologic, embryologic and physiopathologic review. Rev Neurol (Paris). 1998; 154(6-7):489-501.
- 18. Fewel ME, Levy ML, McComb JG. Surgical treatment of 95 children with 102 intracranial arachnoid cysts. PediatrNeurosurg. 1996; 25(4):165-73.
- 19. Erman T, Göçer I, Tuna M,Ergin M, Zorludemir S, Çetinalp E. Intracranial arachnoid cysts: clinical features and management of 35 cases and review of the literature. Neurosurgery Quarterly 2004;14:84-9.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | September 29, 2020 |
| Submission Date | March 19, 2019 |
| Published in Issue | Year 2020 Volume: 14 Issue: 5 |
The publication language of Turkish Journal of Pediatric Disease is English.
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