Görme Bozukluğu ve Baş Ağrısı ile Başvuran Hastada Dev Araknoid Kist Olgusu

Araknoid kistler, beyin veya omurilik ile araknoid membran arasında bulunan, iyi huylu, beyin omurilik sıvısı dolu keseciklerdir. Genellikle araknoid kistler, beyin görüntülemesinde tesadüfen saptanırlar, ancak bazen genişleme veya kanama nedeniyle semptomlara neden olabilirler. Bu yazıda son 1 yıldır giderek artan baş ağrısı ve eşlik eden görme bulanıklığı tarif eden 16 yaşında erkek hasta sunulmuştur.
Anahtar Kelimeler:

Araknoid kist, baş ağrısı

Giant Arachnoid Cyst in a Patient Presenting with Visual Impairment and Headache

Arachnoid cysts are benign cerebrospinal fluid-filled sacs located between the brain or spinal cord and the arachnoid membrane. Arachnoid cysts are generally identified incidentally on brain imaging, however they may occasionally cause symptoms because of bleeding or expansion. In this study, a 16- year-old male, increasing headache and accompanying blurred vision during the last 1 year was presented.

___

  • 1) Al-Holou WN, Yew AY, Boomsaad ZE, Garton HJ, Muraszko KM, Maher CO. Prevalence and natural history of arachnoid cysts in children. J Neurosurg Pediatr. 2010; 5: 578–85.
  • 2) Gangemi M, Seneca V, Colella G, Cioffi V, Imperato A, Maiuri F. Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts. J Neurosurg Pediatr. 2011; 8: 158–64.
  • 3) Helland CA, Wester K. A population-based study of intracranial arachnoid cysts : clinical and neuroimaging outcomes following surgical cyst decompression in children. J Neurosurg. 2006; 105: 385–90.
  • 4) Shin CJ, Rho M, Won YS, Kim SO. Rapid Visual Deterioration Caused by Posterior Fossa Arachnoid Cyst. J Korean Neurosurg Soc. 2016; 59: 314-8.
  • 5) Halani SH, Safain MG, Heilman CB. Arachnoid cyst slit valves : the mechanism for arachnoid cyst enlargement. J Neurosurg Pediatr. 2013; 12: 62-6.
  • 6) Hanieh A, Simpson DA, North JB. Arachnoid cysts: a critical review of 41 cases. Childs Nerv Syst. 1988; 4: 92-6.
  • 7) Harsh GR 4th, Edwards MS, Wilson CB: Intracranial arachnoid cysts in children. J Neurosurg. 1986; 64: 835-42.
  • 8) Kim BS, Illes J, Kaplan RT, Reiss A, Atlas SW. Incidental findings on pediatric MR images of the brain. Am J Neuroradiol. 2002; 23: 1674- 7.
  • 9) Levy ML, Meltzer HS, Hughes S, Aryan HE, Yoo K, Amar AP. Hydrocephalus in children with middle fossa arachnoid cysts. J Neurosurg. 2004; 25-31.
  • 10) Levy ML, Wang M, Aryan HE, Yoo K, Meltzer H. Microsurgical keyhole approach for middle fossa arachnoid cyst fenestration. Neurosurgery 2003; 53: 1138-44.