Ji Yeoun Lee1, Jin Wook Kim, Ji Hoon Phi, Seung-Ki Kim, Byung-Kyu Cho, Kyu-Chang Wang. 1. Division of Pediatric Neurosurgery, Department of Neurosurgery, Seoul National University Children's Hospital and Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, South Korea.
Abstract
PURPOSE: The natural history of change in size of arachnoid cysts (ACs) is an unsettled issue. This leads to confusion in deciding treatment strategies of incidental, asymptomatic AC in children, since the risks and complications of surgery are not negligible. The aim of the present study was to elucidate the clinical significance of change in size of AC in young children. METHODS: From 2000 to 2008, 86 patients younger than 5 years with AC documented on brain imaging were included. They were divided into four different age groups (group I: 0-0.5 year, group II: 0.5-1 year, group III: 1-3 years, group IV: 3-5 years). The temporal changes in size of the AC on consecutive ultrasonography, computed tomography (CT), or magnetic resonance imaging (MRI) of each patient were measured and plotted as individual graphs. Natural progression of AC size was assessed by evaluation of the pattern of each graph. RESULTS: Seventeen patients showed enlargement of AC during follow-up; 14 patients were younger than 1 year. None of the patients in group IV showed enlargement during follow-up. Overall, 11 of the 17 patients with demonstrated AC enlargement were not operated on. In six patients, AC enlargement ceased, and spontaneous regression was observed in three patients. The remaining two untreated patients had shown asymptomatic increase in size at last follow-up. Statistical analysis revealed age at diagnosis to be the only significant factor affecting cyst enlargement. CONCLUSION: Asymptomatic enlargement of AC in infants may not be an indication for surgical intervention. Close follow-up is a viable option for such children.
PURPOSE: The natural history of change in size of arachnoid cysts (ACs) is an unsettled issue. This leads to confusion in deciding treatment strategies of incidental, asymptomatic AC in children, since the risks and complications of surgery are not negligible. The aim of the present study was to elucidate the clinical significance of change in size of AC in young children. METHODS: From 2000 to 2008, 86 patients younger than 5 years with AC documented on brain imaging were included. They were divided into four different age groups (group I: 0-0.5 year, group II: 0.5-1 year, group III: 1-3 years, group IV: 3-5 years). The temporal changes in size of the AC on consecutive ultrasonography, computed tomography (CT), or magnetic resonance imaging (MRI) of each patient were measured and plotted as individual graphs. Natural progression of AC size was assessed by evaluation of the pattern of each graph. RESULTS: Seventeen patients showed enlargement of AC during follow-up; 14 patients were younger than 1 year. None of the patients in group IV showed enlargement during follow-up. Overall, 11 of the 17 patients with demonstrated AC enlargement were not operated on. In six patients, AC enlargement ceased, and spontaneous regression was observed in three patients. The remaining two untreated patients had shown asymptomatic increase in size at last follow-up. Statistical analysis revealed age at diagnosis to be the only significant factor affecting cyst enlargement. CONCLUSION: Asymptomatic enlargement of AC in infants may not be an indication for surgical intervention. Close follow-up is a viable option for such children.
Authors: Juan F Martínez-Lage; Antonio M Ruíz-Espejo; María-José Almagro; Raúl Alfaro; Matías Felipe-Murcia; A López López-Guerrero Journal: Childs Nerv Syst Date: 2009-05-19 Impact factor: 1.475
Authors: V L Souter; I A Glass; D B Chapman; M L Raff; M A Parisi; K E Opheim; C M Disteche Journal: Ultrasound Obstet Gynecol Date: 2003-06 Impact factor: 7.299
Authors: Charles Beresford; Samuel Hall; Alexander Smedley; Nijaguna Mathad; Ryan Waters; Aabir Chakraborty; Owen C Sparrow; Vassilios Tsitouras Journal: Childs Nerv Syst Date: 2020-01-02 Impact factor: 1.475