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Most arachnoid cysts are asymptomatic, and do not require treatment. Where complications are present, leaving arachnoid cysts untreated may cause permanent severe neurological damage due to the progressive expansion of the cyst(s) or hemorrhage (bleeding). [2] However, with treatment most individuals with symptomatic arachnoid cysts do well.
These classification of cysts are embedded in the endoderm (inner layer) and the ectoderm (outer layer) of the cranial or spinal cord germ layers.They normally take over the neuraxis, the axis of the central nervous system that determines how the nervous system is placed, which allows the cysts to infiltrate the CNS tissues. [3]
Arachnoiditis is an inflammatory condition of the arachnoid mater or 'arachnoid', one of the membranes known as meninges that surround and protect the central nervous system. The outermost layer of the meninges is the dura mater (Latin for hard) and adheres to inner surface of the skull and vertebrae. [ 1 ]
Arachnoid cysts represent <1% of intracranial lesions, with the Sylvian fissure being the most common location, most predominant in males on the left side. [4] Cysts are often discovered incidentally during imaging, and most common associated symptoms are headaches, seizures, and motor deficit due to the pressure the cyst applies to the ...
An arachnoid cyst is a collection of cerebrospinal fluid (CSF) in the arachnoid mater. 10% of these occur in the posterior fossa. [9] In a posterior fossa arachnoid cyst, unlike in DWM: [6] [9] The cyst is clearly localised in a specific location separate from the fourth ventricle outlets.
MRI scan is the imaging of choice because it can more accurately differentiate the mass from other tumors such as meningioma, facial nerve schwannoma, epidermoid cyst, arachnoid cyst, aneurysm, and brain metastasis. MRI scan also helps in surgical planning and follow-up of the tumor after surgery. [19]
The arachnoid mater is torn and cerebrospinal fluid (CSF) from the subarachnoid space accumulates in the subdural space. Hygromas also push the subarachnoid vessels away from the inner table of the skull. [2] Subdural hygroma can appear in the first day, but the mean time of appearance is 9 days on CT scan.
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