Advertisement

Suprasellar Arachnoidal Cysts

  • Concezio Di Rocco
  • Massimo Caldarelli
Part of the Principles of Pediatric Neurosurgery book series (PRINCPEDIATR)

Abstract

Arachnoid cysts occurring in the chiasmatic region have been the subject of controversial scientific contributions, most of the discussions being centered on their complex physio-pathogenetic interpretation. Further difficulties have been added by the complex anatomy and relatively undefined anatomical boundaries of the chiasmatic cistern, which has been variably described in the different classifications propounded through the years (Table 8.1). According to Key and Retzius’ work,1 for example, the chiasmatic cistern consisted only of the space behind and below the optic chiasma, as far as the hypophysial stalk and the area between the two diverging optic nerves. The space in front of the optic chiasma was termed by these authors “cisterna laminae cinerae terminalis.”

Keywords

Cyst Wall Arachnoid Cyst Precocious Puberty Empty Sella Syndrome Cystoperitoneal Shunt 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Key A, Retzius G: Studien in der Anatomie des Nervensystems und des Bindegewebes, Vol. I. PA Norstedt and Söner, Stockholm, 1875.Google Scholar
  2. 2.
    Locke CE, Naffzïnger CH: The cerebral sub-arachnoid systems. Arch Neurol Psychiat 12: 411, 1924.CrossRefGoogle Scholar
  3. 3.
    Spatz H, Stroescu GJ: Zur Anatomie und Pathologie der ansseren Liquorräume des Gehirns. Nervenarzt 7:425, 1934.Google Scholar
  4. 4.
    Dilenge D: Anatomie radiologique de la citerne optochiasmatique. Neurochirurgie 1: 257, 1955.PubMedGoogle Scholar
  5. 5.
    Liliequist B: The subarachnoid cisterns. An anatomic and roentgenologc study. Acta Radiol (Suppl Stockh) 185:108, 1959.Google Scholar
  6. 6.
    Yasargil MG, Kasdaglis K, Jain KK, Weber HP: Anatomical observations of the subarachnoid cisterns of the brain during surgery. J Neurosurg 44:298–302, 1976.PubMedCrossRefGoogle Scholar
  7. 7.
    Fox JL: The microsurgical exposure of intracranial aneurysms. J Microsurg 1:2–31, 1979.PubMedCrossRefGoogle Scholar
  8. 8.
    Fox JL, Al-Mefty O: Suprasellar arachnoid cysts: an extension of the membrane of Liliequist. Neurosurgery 7:615–618, 1980.PubMedCrossRefGoogle Scholar
  9. 9.
    Sansregret A, Ledoux R, Duplantis F, Lamoureux C, Chapdelaine A, Leblanc P: Suprasellar arachnoid cysts: radioclinical features. AJR 105:291–297, 1969.CrossRefGoogle Scholar
  10. 10.
    Harrison MJG: Cerebral arachnoid cysts in children. J Neurol Neurosurg Psychiatry 34:316–323, 1971.PubMedCrossRefGoogle Scholar
  11. 11.
    Danziger J, Bloch S: Suprasellar arachnoid pouches. Br J Radiol 47:448–451, 1974.PubMedCrossRefGoogle Scholar
  12. 12.
    Binitie O, Williams B, Case CP: A suprasellar subarachnoid pouch; aetiological considerations. J Neurol Neurosurg Psychiatry 47:1066–1074, 1984.PubMedCrossRefGoogle Scholar
  13. 13.
    Dott NM, Gillingham FJ: Mechanical aspects of the cerebrospinal fluid circulation— physiological, pathological, surgical. In: Wolstenholme GEW, O’Connor CM (eds.). Ciba Foundation Symposium on the Cerebrospinal Fluid Production, Circulation and Absorption, Little, Brown, Boston, 1958, 246–264.Google Scholar
  14. 14.
    Banna M: Arachnoid cysts in the hypophysial area. Clin Radiol 25:323–326, 1974.PubMedCrossRefGoogle Scholar
  15. 15.
    Pierre-Kahn A, Sachs M, Hirsch JF: Hydrocéphalie et kyste arachnoïdien suprasellaire. A propos de deux cas. Neurochirurgie 20:179–190, 1974.PubMedGoogle Scholar
  16. 16.
    Shaw CM, Alvord EC: Congenital arachnoid cysts and their differential diagnosis. In: Vinken PJ, Bruyn GW (eds.). Congenital Malformations of the Brain and Skull. Part II. North-Holland, Amsterdam, New York, Oxford; 1977; 75–135.Google Scholar
  17. 17.
    Krawchenko J, Collins GH: Pathology of an arachnoid cyst: case report. J Neurosurg 50:224–228, 1979.PubMedCrossRefGoogle Scholar
  18. 18.
    Wislocki GB: The meningeal relations of the hypophysis cerebri. II. An embryological study of the meninges and blood vessels of the human hypophysis. Am J Anat 61:95–130, 1937.CrossRefGoogle Scholar
  19. 19.
    Calkins RA, Pribram HFW, Joynt RJ: Intra-sellar arachnoid diverticulum. A case report. Neurology (Minneapolis) 18:1037–1040, 1968.CrossRefGoogle Scholar
  20. 20.
    Robertson EG: Pneumoencephalography, 2nd ed. Charles C. Thomas, Springfield, IL, 1967, 266,314, 316.Google Scholar
  21. 21.
    Brismar K, Bajraktari X, Goulatia R, Efendic S: The empty sella syndrome—intrasellar cisternal herniation in “normal” patients and in patients with communicating hydrocephalus and intracranial tumors. Neuroradiology 17: 35–43, 1978.PubMedCrossRefGoogle Scholar
  22. 22.
    Busch W: Die Morphologie der Sella turcica und ihre Beziehungen zur Hypophyse. Virchows Arch [A] 320:437–458, 1951.CrossRefGoogle Scholar
  23. 23.
    Ring BA, Waddington M: Primary arachnoid cysts of the sella turcica. AJR 98:611–615, 1966.CrossRefGoogle Scholar
  24. 24.
    Hodgson SF, Randall RV, Laws ER Jr: Empty sella syndrome. In: Youmans JR (ed.). Neurological Surgery, 2nd ed. WB Saunders, Philadelphia; 1982; 3170–3178.Google Scholar
  25. 25.
    Di Rocco C, Iannelli A, Borrelli P, Cappa M, Colosimo C Jr: Surgically treatable growth retardation due to non-neoplastic pituitary-hypothalamic dysfunction. Child’s Brain 11: 353–368, 1984.Google Scholar
  26. 26.
    Guiot G, Olson D, Hertzog E: Kystes arachnoidiens intrasellaires. Neurochirurgie 17:539–547,1971.PubMedGoogle Scholar
  27. 27.
    Weiss SR, Raskind R: Non-neoplastic intra-sellar cysts. Int Surg 51: 282–286, 1969.PubMedGoogle Scholar
  28. 28.
    Mortara R, Norrell H: Consequences of deficient sella diaphragm. J Neurosurg 32:563–573, 1970.CrossRefGoogle Scholar
  29. 29.
    Weber EL, Vogel FS, Odom GL: Cysts of the sella turcica. J Neurosurg 33:48–53, 1970.PubMedCrossRefGoogle Scholar
  30. 30.
    Benedetti A, Carbonin C, Colombo F: Possible aetiopathogenetic correlation between primary empty sella and arachnoid cyst. Acta Neurochir 38:269–278,1977.PubMedCrossRefGoogle Scholar
  31. 31.
    De Divitiis E, Spaziante R, Stella L: Empty sella and benign intrasellar cysts. Adv Tech Stand Neurosurg 8:1–69, 1981.Google Scholar
  32. 32.
    Rengachary SS: Intracranial, arachnoid and ependymal cysts. In: Wilkins RH, Rengachary SS (eds.). Neurosurgery. McGraw-Hill, New York, 1985; 2160–2172.Google Scholar
  33. 33.
    Harter LP, Silverberg GD, Brant-Zawadzki M: Intrasellar arachnoid cyst: case report. Neurosurgery 7:387–390,1980.PubMedCrossRefGoogle Scholar
  34. 34.
    Meyer FB, Carpenter SM, Laws ER Jr: Intrasellar arachnoid cysts. Surg Neurol 28:105–110, 1987.PubMedCrossRefGoogle Scholar
  35. 35.
    Baskin DS, Wilson CB: Transphenoidal treatment of non-neoplastic intrasellar cysts: a report of 38 cases. J Neurosurg 60:8–13, 1984.PubMedCrossRefGoogle Scholar
  36. 36.
    Hoffman HJ, Hendrick EB, Humphreys RP, Armstrong EA: Investigation and management of suprasellar arachnoid cysts. J Neurosurg 57:597–602, 1982.PubMedCrossRefGoogle Scholar
  37. 37.
    Gonzalez CA, Villarejo FJ, Blazquez MG, Castro vie jo IP, Higueras AP: Suprasellar arachnoid cysts in children. Report of three cases. Acta Neurochir 60:281–296, 1982.PubMedCrossRefGoogle Scholar
  38. 38.
    Armstrong EA, Harwood-Nash DCF, Hoffman HJ, et al.: Benign suprasellar cysts. The CT approach. AJNR 4:163–166, 1983.PubMedGoogle Scholar
  39. 39.
    Wells RG, Sty JR, Young LW, Wood BP: Radiological case of the month. Am J Dis Child 142:1081–1082, 1988.PubMedGoogle Scholar
  40. 40.
    Pierre-Kahn A, Capelle L, Brauner R, Sainte-Rose Ch, Renier D, Rappaport R, Hirsch JF: Presentations and management of suprasellar arachnoid cysts. J Neurosurg 73:355–359, 1990.PubMedCrossRefGoogle Scholar
  41. 41.
    Murali R, Epstein F: Diagnosis and treatment of suprasellar arachnoid cyst. Report of three cases. J Neurosurg. 50:515–518, 1979.PubMedCrossRefGoogle Scholar
  42. 42.
    Naidich TP, McLone DG, Radkowski MA: Intracranial arachnoid cysts. Pediatr Neurosci 12:112–122,1985-86.PubMedCrossRefGoogle Scholar
  43. 43.
    Faris AA, Bale GF, Cannon B: Arachnoid cyst of the third ventricle with precocious puberty. South Med J 64:1139–1142, 1971.PubMedCrossRefGoogle Scholar
  44. 44.
    Segal HD, Hassan G, Ling SM, Carton C: Suprasellar cysts associated with isosexual precocious puberty. Radiology 111:607–616, 1974.Google Scholar
  45. 45.
    Benton JW, Nellhaus G, Huttenlocher PR, Ojemann RG, Doge PR: The bobble-head doll syndrome. Neurology (Minneapolis) 16:725–729, 1966.CrossRefGoogle Scholar
  46. 46.
    Nellhaus G: The Bobble-head doll syndrome. “Tic” with a neuropathologic basis. Pediatrics 40;250–253,1967.PubMedGoogle Scholar
  47. 47.
    Mayher WE, Gindin RA: Head bobbing associated with third ventricular cyst. Report of a case. Arch Neurol 23:274–277, 1970.PubMedCrossRefGoogle Scholar
  48. 48.
    Sakata K, Yamada H, Yamamoto M, Takahasi C: Bobble-head doll syndrome. Report of a case with a large basal arachnoid cyst. Brain Neurol (Tokyo) 23:693–700, 1971.Google Scholar
  49. 49.
    Obenchain T, Becker DP: Head bobbling associated with a cyst of the third ventricle. J Neurosurg 37:457–459, 1972.PubMedCrossRefGoogle Scholar
  50. 50.
    Patriquin HB: The bobble-head doll syndrome. A curable entity. Radiology 107:171–172, 1973.PubMedGoogle Scholar
  51. 51.
    Ferry PC, Feldman V, Kerber C: The bobble-head doll syndrome due to a basal arachnoid cyst. Neurology 24:394, 1974.CrossRefGoogle Scholar
  52. 52.
    Jensen HP, Pendl G, Goerke W: Head bobbing in a patient with a cyst of the third ventricle. Child’s Brain 4:235–241, 1978.PubMedGoogle Scholar
  53. 53.
    Albright L: Treatment of bobble-head doll syndrome by transcallosal cystectomy. Neurosurgery 8:593–595, 1981.PubMedCrossRefGoogle Scholar
  54. 54.
    Dell S: Further observations on the “bobble-headed doll syndrome.” J Neurol Neurosurg Psychiatry 44:1046–1049, 1981.PubMedCrossRefGoogle Scholar
  55. 55.
    Russo RH, Kindt GW: A neuroanatomical basis for the bobble-head syndrome. J Neurol 41:720–723, 1974.Google Scholar
  56. 56.
    Kasdan DL, Douglas EA, Brougham MF: Suprasellar arachnoid cyst diagnosed preoperatively by computerized tomographic scanning. Surg Neurol 7:299–303, 1977.Google Scholar
  57. 57.
    Anderson FM, Segall HD, Caton WL: Use of computerized tomography scanning in supra-tentorial arachnoid cysts. J Neurosurg 50:333–338, 1979.PubMedCrossRefGoogle Scholar
  58. 58.
    Raimondi AJ, Shimoji T, Gutierrez FA: Suprasellar cysts: surgical treatment and results. Child’s Brain 7:57–72, 1980.PubMedGoogle Scholar
  59. 59.
    Aicardi J, Bauman F: Supratentorial extracerebral cysts in infants and children. J Neurol Neurosurg Psychiatry 38:57–68, 1975.PubMedCrossRefGoogle Scholar
  60. 60.
    Lee BCP: Intracranial cysts. Radiology 130: 667–674, 1979.PubMedGoogle Scholar
  61. 61.
    Kishore PRS, Krishna Rao CVG, Williams Jp, Vines FS: The limitation of computerized tomographic diagnosis of intracranial midline cysts. Surg Neurol 14:417–431, 1980.PubMedGoogle Scholar
  62. 62.
    Lange M, Oeckler R, Beck OJ: Surgical treatment of patients wiht midline arachnoid cysts. Neurosurg Rev 13:35–39, 1990.PubMedCrossRefGoogle Scholar
  63. 63.
    Leo JS, Pinto RS, Hulvot GF, et al.: Computed tomography of arachnoid cysts. Radiology 130:675–680, 1979.PubMedGoogle Scholar
  64. 64.
    Ruscalleda J, Guardia E, dos Santos FM, Carvajal A: Dynamic study of arachnoid cysts with metrizamide. Neuroradiology 20:185–189, 1980.PubMedCrossRefGoogle Scholar
  65. 65.
    Mori K: Anomalies of the Central Nervous System. Thieme Stratton, New York, 1985, 25–34.Google Scholar
  66. 66.
    Sprung C, Mauersberger W: Value of computed tomography for the diagnosis and assessment of surgical treatment. Acta Neurochir Suppl (Wien) 28:619–626, 1979.Google Scholar
  67. 67.
    Stein SC: Intracranial developmental cysts in children: treatment by cystoperitoneal shunting. Neurosurgery 8:647–650, 1981.PubMedCrossRefGoogle Scholar
  68. 68.
    Kaplan BJ, Mickle JP, Parkhurst R: Cystoperitoneal shunting for congenital arachnoid cysts. Child’s Brain 11:304–311, 1984.PubMedGoogle Scholar
  69. 69.
    Harsh GR IV, Edwards MSB, Wilson CB: Intracranial arachnoid cysts in children. J Neurosurg 64:835–842, 1986.PubMedCrossRefGoogle Scholar
  70. 70.
    Raffel C, McComb JG: To shunt or to fenestrate: which is the best surgical treatment for arachnoid cysts in pediatric patients? Neurosurgery 23:338–342, 1988.PubMedCrossRefGoogle Scholar
  71. 71.
    Dee D, Woesner ME, Sanders I, Biggers SL: Biloculated intracranial arachnoid cyst in a neonate. Am J Dis Child 127:700–702, 1974.PubMedGoogle Scholar
  72. 72.
    Williams B, Guthkelch AN: Why do central arachnoid pouches expand? J Neurol Neurosurg Psychiatry 38:1085–1092, 1974.CrossRefGoogle Scholar
  73. 73.
    Giroud M, Santreaux JL, Thierry A, Dumas R: Diencephalic epilepsy with congenital suprasellar arachnoid cyst in an infant. Child’s Nerv Syst 4:252–254, 1988.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1993

Authors and Affiliations

  • Concezio Di Rocco
  • Massimo Caldarelli

There are no affiliations available

Personalised recommendations