Skip to main content

Suprasellar Arachnoidal Cysts

  • Chapter

Part of the book series: Principles of Pediatric Neurosurgery ((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.”

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  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. Locke CE, Naffzïnger CH: The cerebral sub-arachnoid systems. Arch Neurol Psychiat 12: 411, 1924.

    Article  Google Scholar 

  3. Spatz H, Stroescu GJ: Zur Anatomie und Pathologie der ansseren Liquorräume des Gehirns. Nervenarzt 7:425, 1934.

    Google Scholar 

  4. Dilenge D: Anatomie radiologique de la citerne optochiasmatique. Neurochirurgie 1: 257, 1955.

    PubMed  CAS  Google Scholar 

  5. Liliequist B: The subarachnoid cisterns. An anatomic and roentgenologc study. Acta Radiol (Suppl Stockh) 185:108, 1959.

    Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

  7. Fox JL: The microsurgical exposure of intracranial aneurysms. J Microsurg 1:2–31, 1979.

    Article  PubMed  CAS  Google Scholar 

  8. Fox JL, Al-Mefty O: Suprasellar arachnoid cysts: an extension of the membrane of Liliequist. Neurosurgery 7:615–618, 1980.

    Article  PubMed  CAS  Google Scholar 

  9. Sansregret A, Ledoux R, Duplantis F, Lamoureux C, Chapdelaine A, Leblanc P: Suprasellar arachnoid cysts: radioclinical features. AJR 105:291–297, 1969.

    Article  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  11. Danziger J, Bloch S: Suprasellar arachnoid pouches. Br J Radiol 47:448–451, 1974.

    Article  PubMed  CAS  Google Scholar 

  12. Binitie O, Williams B, Case CP: A suprasellar subarachnoid pouch; aetiological considerations. J Neurol Neurosurg Psychiatry 47:1066–1074, 1984.

    Article  PubMed  CAS  Google Scholar 

  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. Banna M: Arachnoid cysts in the hypophysial area. Clin Radiol 25:323–326, 1974.

    Article  PubMed  CAS  Google Scholar 

  15. Pierre-Kahn A, Sachs M, Hirsch JF: Hydrocéphalie et kyste arachnoïdien suprasellaire. A propos de deux cas. Neurochirurgie 20:179–190, 1974.

    PubMed  CAS  Google Scholar 

  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. Krawchenko J, Collins GH: Pathology of an arachnoid cyst: case report. J Neurosurg 50:224–228, 1979.

    Article  PubMed  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  19. Calkins RA, Pribram HFW, Joynt RJ: Intra-sellar arachnoid diverticulum. A case report. Neurology (Minneapolis) 18:1037–1040, 1968.

    Article  CAS  Google Scholar 

  20. Robertson EG: Pneumoencephalography, 2nd ed. Charles C. Thomas, Springfield, IL, 1967, 266,314, 316.

    Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

  22. Busch W: Die Morphologie der Sella turcica und ihre Beziehungen zur Hypophyse. Virchows Arch [A] 320:437–458, 1951.

    Article  CAS  Google Scholar 

  23. Ring BA, Waddington M: Primary arachnoid cysts of the sella turcica. AJR 98:611–615, 1966.

    Article  CAS  Google Scholar 

  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. 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. Guiot G, Olson D, Hertzog E: Kystes arachnoidiens intrasellaires. Neurochirurgie 17:539–547,1971.

    PubMed  CAS  Google Scholar 

  27. Weiss SR, Raskind R: Non-neoplastic intra-sellar cysts. Int Surg 51: 282–286, 1969.

    PubMed  CAS  Google Scholar 

  28. Mortara R, Norrell H: Consequences of deficient sella diaphragm. J Neurosurg 32:563–573, 1970.

    Article  Google Scholar 

  29. Weber EL, Vogel FS, Odom GL: Cysts of the sella turcica. J Neurosurg 33:48–53, 1970.

    Article  PubMed  CAS  Google Scholar 

  30. Benedetti A, Carbonin C, Colombo F: Possible aetiopathogenetic correlation between primary empty sella and arachnoid cyst. Acta Neurochir 38:269–278,1977.

    Article  PubMed  CAS  Google Scholar 

  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. Rengachary SS: Intracranial, arachnoid and ependymal cysts. In: Wilkins RH, Rengachary SS (eds.). Neurosurgery. McGraw-Hill, New York, 1985; 2160–2172.

    Google Scholar 

  33. Harter LP, Silverberg GD, Brant-Zawadzki M: Intrasellar arachnoid cyst: case report. Neurosurgery 7:387–390,1980.

    Article  PubMed  CAS  Google Scholar 

  34. Meyer FB, Carpenter SM, Laws ER Jr: Intrasellar arachnoid cysts. Surg Neurol 28:105–110, 1987.

    Article  PubMed  CAS  Google Scholar 

  35. Baskin DS, Wilson CB: Transphenoidal treatment of non-neoplastic intrasellar cysts: a report of 38 cases. J Neurosurg 60:8–13, 1984.

    Article  PubMed  CAS  Google Scholar 

  36. Hoffman HJ, Hendrick EB, Humphreys RP, Armstrong EA: Investigation and management of suprasellar arachnoid cysts. J Neurosurg 57:597–602, 1982.

    Article  PubMed  CAS  Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

  38. Armstrong EA, Harwood-Nash DCF, Hoffman HJ, et al.: Benign suprasellar cysts. The CT approach. AJNR 4:163–166, 1983.

    PubMed  CAS  Google Scholar 

  39. Wells RG, Sty JR, Young LW, Wood BP: Radiological case of the month. Am J Dis Child 142:1081–1082, 1988.

    PubMed  CAS  Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

  41. Murali R, Epstein F: Diagnosis and treatment of suprasellar arachnoid cyst. Report of three cases. J Neurosurg. 50:515–518, 1979.

    Article  PubMed  CAS  Google Scholar 

  42. Naidich TP, McLone DG, Radkowski MA: Intracranial arachnoid cysts. Pediatr Neurosci 12:112–122,1985-86.

    Article  PubMed  Google Scholar 

  43. Faris AA, Bale GF, Cannon B: Arachnoid cyst of the third ventricle with precocious puberty. South Med J 64:1139–1142, 1971.

    Article  PubMed  CAS  Google Scholar 

  44. Segal HD, Hassan G, Ling SM, Carton C: Suprasellar cysts associated with isosexual precocious puberty. Radiology 111:607–616, 1974.

    Google Scholar 

  45. Benton JW, Nellhaus G, Huttenlocher PR, Ojemann RG, Doge PR: The bobble-head doll syndrome. Neurology (Minneapolis) 16:725–729, 1966.

    Article  Google Scholar 

  46. Nellhaus G: The Bobble-head doll syndrome. “Tic” with a neuropathologic basis. Pediatrics 40;250–253,1967.

    PubMed  CAS  Google Scholar 

  47. Mayher WE, Gindin RA: Head bobbing associated with third ventricular cyst. Report of a case. Arch Neurol 23:274–277, 1970.

    Article  PubMed  Google Scholar 

  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.

    CAS  Google Scholar 

  49. Obenchain T, Becker DP: Head bobbling associated with a cyst of the third ventricle. J Neurosurg 37:457–459, 1972.

    Article  PubMed  CAS  Google Scholar 

  50. Patriquin HB: The bobble-head doll syndrome. A curable entity. Radiology 107:171–172, 1973.

    PubMed  CAS  Google Scholar 

  51. Ferry PC, Feldman V, Kerber C: The bobble-head doll syndrome due to a basal arachnoid cyst. Neurology 24:394, 1974.

    Article  Google Scholar 

  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.

    PubMed  CAS  Google Scholar 

  53. Albright L: Treatment of bobble-head doll syndrome by transcallosal cystectomy. Neurosurgery 8:593–595, 1981.

    Article  PubMed  CAS  Google Scholar 

  54. Dell S: Further observations on the “bobble-headed doll syndrome.” J Neurol Neurosurg Psychiatry 44:1046–1049, 1981.

    Article  PubMed  CAS  Google Scholar 

  55. Russo RH, Kindt GW: A neuroanatomical basis for the bobble-head syndrome. J Neurol 41:720–723, 1974.

    CAS  Google Scholar 

  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. Anderson FM, Segall HD, Caton WL: Use of computerized tomography scanning in supra-tentorial arachnoid cysts. J Neurosurg 50:333–338, 1979.

    Article  PubMed  CAS  Google Scholar 

  58. Raimondi AJ, Shimoji T, Gutierrez FA: Suprasellar cysts: surgical treatment and results. Child’s Brain 7:57–72, 1980.

    PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  60. Lee BCP: Intracranial cysts. Radiology 130: 667–674, 1979.

    PubMed  CAS  Google Scholar 

  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.

    PubMed  CAS  Google Scholar 

  62. Lange M, Oeckler R, Beck OJ: Surgical treatment of patients wiht midline arachnoid cysts. Neurosurg Rev 13:35–39, 1990.

    Article  PubMed  CAS  Google Scholar 

  63. Leo JS, Pinto RS, Hulvot GF, et al.: Computed tomography of arachnoid cysts. Radiology 130:675–680, 1979.

    PubMed  CAS  Google Scholar 

  64. Ruscalleda J, Guardia E, dos Santos FM, Carvajal A: Dynamic study of arachnoid cysts with metrizamide. Neuroradiology 20:185–189, 1980.

    Article  PubMed  CAS  Google Scholar 

  65. Mori K: Anomalies of the Central Nervous System. Thieme Stratton, New York, 1985, 25–34.

    Google Scholar 

  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.

    CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  68. Kaplan BJ, Mickle JP, Parkhurst R: Cystoperitoneal shunting for congenital arachnoid cysts. Child’s Brain 11:304–311, 1984.

    PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

  71. Dee D, Woesner ME, Sanders I, Biggers SL: Biloculated intracranial arachnoid cyst in a neonate. Am J Dis Child 127:700–702, 1974.

    PubMed  Google Scholar 

  72. Williams B, Guthkelch AN: Why do central arachnoid pouches expand? J Neurol Neurosurg Psychiatry 38:1085–1092, 1974.

    Article  Google Scholar 

  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.

    Article  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer Science+Business Media New York

About this chapter

Cite this chapter

Di Rocco, C., Caldarelli, M. (1993). Suprasellar Arachnoidal 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_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-7281-7_8

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4615-7283-1

  • Online ISBN: 978-1-4615-7281-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics