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Supratentorial Interhemispheric and Pineal Region Cysts

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Intracranial Cyst Lesions

Part of the book series: Principles of Pediatric Neurosurgery ((PRINCPEDIATR))

Abstract

The group of cisterns anatomically related to the tentorial notch represents a critical space for the cerebro spinal fluid (CSF) circulation; these cisterns are also a preferential site for a variety of cystic lesions, of which the arachnoid cysts constitute only a minor fraction.1,2 In fact, the two main cisterns of the group— the cisterna corporis callosi and the cisterna corporum quadrigeminorum—together with the satellite subarachnoid cisterns around the brain stem (cisterna ambiens), above the roof of the third ventricle (cisterna veli interpositi), and around the superior vermis of the cerebellum (cisterna cerebelli superior), form a large and complex space that is often involved in the developmental anomalies of the midline structures of the brain. On neuroimaging investigation the resulting malformations may assume various configurations; the differential diagnosis, especially in newborns and infants, may be particularly difficult, even though a careful evaluation of the corpus callosum, as well as of the shape and position of the lateral and third ventricles, may usually facilitate the correct recognition of the lesion (Figure 11.1).

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References

  1. Osaka K, Matsumoto S: Hydrocephalus in neurosurgical practice. J Neurosurg 48:787–803, 1978.

    Article  PubMed  CAS  Google Scholar 

  2. Rao K CVG, Gunadi IK, Diaconis JN: Interhemispheric intradural cyst. Case report. J Comput Assist Tomogr 6:1167–1171, 1982.

    Article  PubMed  CAS  Google Scholar 

  3. Probst FP: The Prosencephalies. Springer-Verlag, Berlin, Heidelberg, New York, 1979, 107–115.

    Book  Google Scholar 

  4. Menezes AH, Bell WE, Perret GE: Arachnoid cysts in children. Arch Neurol 37:168–172, 1980.

    Article  PubMed  CAS  Google Scholar 

  5. Rengachary SS: Parasagittal arachnoid cyst: case report. Neurosurgery 9:70–75, 1981.

    Article  PubMed  CAS  Google Scholar 

  6. Zingesser L, Schechter M, Gonatas N, Levy A, Wisoff H: Agenesis of the corpus callosum associated with an interhemispheric arachnoid cyst. Br J Radiol 37:905–909, 1964.

    Article  PubMed  CAS  Google Scholar 

  7. Haymaker W, Foster ME: Intracranial durai cysts. J Neurosurg 1:211–218, 1944.

    Article  Google Scholar 

  8. Kirchner SG, Long WR: Epicranial arachnoid cysts. South Med J 77:905–906, 1984.

    Article  PubMed  CAS  Google Scholar 

  9. McLaurin RL: Parietal encephaloceles. Neurology 14:764–772, 1964.

    Article  PubMed  CAS  Google Scholar 

  10. Anderson FM, Landing BH: Cerebral arachnoid cysts in infants. J Pediatr 69:88–96, 1966.

    Article  PubMed  CAS  Google Scholar 

  11. Harrison MJG: Cerebral arachnoid cysts in children. J Neurol Neurosurg Psychiatry. 34:316–323, 1971.

    Article  PubMed  CAS  Google Scholar 

  12. Danziger J, Bloch S: The radiology of arachnoid pouches. Clin Radiol 26:275–283, 1975.

    Article  PubMed  CAS  Google Scholar 

  13. Aicardi J, Bauman F: Supratentorial extracerebral cysts in infants and children. J Neurol Neurosurg Psychiatry. 38:57–68, 1975.

    Article  PubMed  CAS  Google Scholar 

  14. Choux M, Raybaud C, Pinsard N, Hassoun J, Gambardelli D: Intracranial supratentorial cysts in children, excluding tumor and parasitic cysts. Childs Brain 4:15–32, 1978.

    PubMed  CAS  Google Scholar 

  15. Leo JS, Pinto RS, Hulvat GF, Epstein F, Kricheff II: Computed tomography of arachnoid cysts. Radiology 38:57–68, 1979.

    Google Scholar 

  16. Stein SC: Intracranial developmental cysts in children: treatment by cystoperitoneal shunting. Neurosurgery 8:647–650, 1981.

    Article  PubMed  CAS  Google Scholar 

  17. Cilluffo JM, Onofrio BM, Miller RH: The diagnosis and surgical treatment of intracranial arachnoid cysts. Acta Neurochir 67:215–229, 1983.

    Article  PubMed  CAS  Google Scholar 

  18. Serlo W, Wendt LV, Heikkinen E, Saukkonen AL, Heikkinen E, Nystrom ST: Shunting procedures in the management of intracranial cerebrospinal fluid cysts in infancy and childhood. Acta Neurochir 76:111–116, 1985.

    Article  PubMed  CAS  Google Scholar 

  19. Lodrini S, Lasio G, Fornari M, Migliavacca F: Treatment of supratentorial primary arachnoid cysts. Acta Neurochir 76:105–110, 1985.

    Article  PubMed  CAS  Google Scholar 

  20. Harsh GR, Edwards MSB, Wilson CB: Intracranial arachnoid cysts in children. J Neurosurg 64:835–842, 1986.

    Article  PubMed  Google Scholar 

  21. Choux M, Yanez A: Arachnoid cysts. In: Hoffman HJ, Epstein F (eds.). Anomalies of the Developing Central Nervous System. Blackwell Scientific, Boston, 1987, 175–189.

    Google Scholar 

  22. Locatelli D, Bonfanti N, Sfogliarini R, Gajno TM, Pezzotta S: Arachnoid cysts: diagnosis and treatment. Childs Nerv Syst 3:121–124, 1987.

    Article  PubMed  CAS  Google Scholar 

  23. Raffel C, McComb JG: To shunt or to fenestrate: which is the best surgical treatment for arachnoid cysts in pediatrics patient? Neurosurgery 23:338–342, 1988.

    Article  PubMed  CAS  Google Scholar 

  24. Marinov M, Undjian S, Wetzka P: An evaluation of the surgical treatment of intracranial arachnoid cysts in children. Childs Nerv Syst 5:177–183, 1989.

    Article  PubMed  CAS  Google Scholar 

  25. Grollmus J, Wilson CB, Newton TH: Paramesencephalic arachnoid cysts. Neurology 26:128–134, 1976.

    Article  PubMed  CAS  Google Scholar 

  26. Alexander E Jr: Benign subtentorial supracollicular cyst as a cause of obstructive hydrocephalus. J Neurosurg 10:317–323, 1953.

    Article  PubMed  Google Scholar 

  27. Kruyff E: Paracollicular plate cysts. Am J Roentgenol 95:899–916, 1965.

    Article  CAS  Google Scholar 

  28. Katagiri A: Arachnoid cyst of the cisterna ambiens. Report of two cases. Neurology (Minneapolis) 10:783–786, 1960.

    Article  CAS  Google Scholar 

  29. Danziger J, Bloch S: Paracollicular arachnoid pouches. Am J Roentgenol 124:310–314, 1975.

    Article  CAS  Google Scholar 

  30. Ciricillo SF, Cogen PH, Harsh GR, Edwards MSB: Intracranial arachnoid cysts in children. A comparison of the effects of fenestration and shunting. J Neurosurg 74:230–235, 1991.

    Article  PubMed  CAS  Google Scholar 

  31. Hayashi T, Kuratomi A, Kuramoto S: Arachnoid cyst of the quadrigeminal cistern. Surg Neurol 14:267–273, 1980.

    PubMed  CAS  Google Scholar 

  32. Diebler C, Dulac O: Pediatric Neurology and Neuroradiology. Springer-Verlag, Berlin, 1987, 67–68.

    Book  Google Scholar 

  33. Chuan GS, Harwood-Nash D: Tumors and cysts. In: Naidich TP, Quencer (eds.). Clinical Neurosonography, Springer-Verlag, Berlin, 1987, 97–109.

    Google Scholar 

  34. Dott NM, Gillingham FJ: Mechanical aspects of the cerebrospinal fluid circulation— physiological, pathological, surgical. In: Wolsternholme GEW, O’Connor CM (eds.). Ciba Foundation Symposium of the Cerebrospinal Fluid. Production, Circulation and Absorption. Little, Brown, Boston, 1958, 246–264.

    Google Scholar 

  35. Lourie H, Berne AS: Radiological and clinical features of an arachnoid cyst of the quadrigeminal cystern. J Neurol Neurosurg Psychiatry 24:374–378, 1961.

    Article  PubMed  CAS  Google Scholar 

  36. Dvorak M, Zapletal B: Operative Heilung einer Zyste der Cisterna ambiens. Zentralbl Neurochir 26:143–148, 1965.

    PubMed  CAS  Google Scholar 

  37. Huckman MS, Davis DO, Coxe WS: Arachnoid cyst of the quadrigeminal plate. J Neurosurg 32:367–370, 1970.

    Article  PubMed  CAS  Google Scholar 

  38. Handa J, Nakano Y, Aii H: CT cisternography with intracranial arachnoid cysts. Surg Neurol 8:451–454, 1977.

    PubMed  CAS  Google Scholar 

  39. Hamby WB, Gardner WJ: An ependymal cyst in the quadrigeminal region: report of a case. Arch Neurol Psychiatr (Chicago) 33:391–398, 1935.

    Article  Google Scholar 

  40. Castellano F, Ruggiero G: Meningiomas of posterior fossa. Acta Radiol Suppl (Stockh) 104:1–177, 1953.

    CAS  Google Scholar 

  41. Ruggiero G: Diagnostic value of encéphalographie examination of subarachnoid space. Acta Radiol (Stockh) 46:99–108, 1956.

    Article  CAS  Google Scholar 

  42. Shechter MM, Bull JWD, Carey P: Two new encéphalographie signs of pressure hydrocephalus. Br J Radiol 31:317–325, 1958.

    Article  Google Scholar 

  43. Pribram HFW: Subarachnoid cisterns in intracranial hypertension. Acta Radiol (Diagn) 1:613–619,1963.

    CAS  Google Scholar 

  44. Alvord EC Jr, Marcuse PM: Intracranial cerebellar meningo-encephalocele (posterior fossa cyst) causing hydrocephalus by compression at the incisura tentorii. J Neuropathol Exp Neurol 21:50–69, 1962.

    Article  PubMed  Google Scholar 

  45. Lewis AJ: Infantile hydrocephalus caused by arachnoid cyst. J Neurosurg 19:431–434, 1962.

    Article  PubMed  CAS  Google Scholar 

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Di Rocco, C., Caldarelli, M. (1993). Supratentorial Interhemispheric and Pineal Region Cysts. In: Raimondi, A.J., Choux, M., Di Rocco, C. (eds) Intracranial Cyst Lesions. Principles of Pediatric Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4615-7281-7_11

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  • DOI: https://doi.org/10.1007/978-1-4615-7281-7_11

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