Benign İntrakraniyal Kistler
Özet
İntrakraniyal kistik lezyonlar, görüntüleme teknolojilerinin gelişmesiyle daha sık teşhis edilmekte olup benign neoplastik, malign neoplastik ve neoplastik olmayan gruplar halinde sınıflandırılmaktadır. Araknoid kistler, orta hat kistleri, ependimal, nöroenterik, koroid pleksus, kolloid ve pineal kistler gibi çeşitli benign intrakraniyal lezyonlar, kitle etkisi veya hidrosefali gibi semptomlara neden olduklarında cerrahi müdahale gerektirebilirler. Çoğu kist tesadüfen saptansa da, hastanın kliniği ve kistin anatomik yerleşimi tedavi yönteminin (endoskopik fenestrasyon, şant veya rezeksiyon) seçiminde belirleyici rol oynamaktadır.
Intracranial cystic lesions are diagnosed more frequently with advancing imaging technologies and are classified into benign neoplastic, malignant neoplastic, and non-neoplastic groups. Various benign intracranial lesions, such as arachnoid cysts, midline cysts, ependymal, neurenteric, choroid plexus, colloid, and pineal cysts, may require surgical intervention when they cause symptoms like mass effect or hydrocephalus. Although most cysts are detected incidentally, the patient's clinical status and the anatomical location of the cyst play a decisive role in choosing the treatment method (endoscopic fenestration, shunting, or resection).
Referanslar
Tubbs RS, Krishnamurthy S, Verma K, et al. Cavum velum interpositum, cavum septum pellucidum, and cavum vergae: a review. Child's Nervous System. 2011; 27(11): 1927-1930.
Jafrani R, Raskin JS, Kaufman A, et al. Intracranial arachnoid cysts: Pediatric neurosurgery update. Surgical neurology international. 2019; 10: 15.
Yildiz H, Erdogan C, Yalcin R, et al. Evaluation of communication between intracranial arachnoid cysts and cisterns with phase-contrast cine MR imaging. Am J Neuroradiol. 2005; 26: 145-51.
Hall S, Smedley A, Sparrow O, et al. Natural history of intracranial arachnoid cysts. World neurosurgery. 2019; 126: e1315-e1320.
Ibrahim GM, Alotaibi NM, Lipsman N, et al. De novo formation of a symptomatic arachnoid cyst in an adult. Neurology. 2017; 88: 331-332.
Preuß M, Thome U, Kluge J, et al. Retroclival arachnoid cyst in a preterm infant after ventriculitis and intraventricular hemorrhage-a case report. Childs Nerv Syst. 2015; 31: 347-350.
Gosalakkal JA. Intracranial arachnoid cysts in children: A review of pathogenesis, clinical features, and management. Pediatr Neurol. 2002; 26: 93-8.
Al Holou WN, Yew A, Boomsaad Z, et al. Prevalence and natural history of arachnoid cysts in children. J Neurosurg. 2010; 5: 578-85.
Al-Holou WN, Terman S, Kilburg C, et al. Prevalence and natural history of arachnoid cysts in adults. J Neurosurg. 2013; 118: 222-231.
Barkovich A. Diagnostic Imaging: Pediatric Neuroradiology; Thieme, New York. 2014
Lee JY, Kim JW, Phi JH, et al. Enlarging arachnoid cyst: a false alarm for infants. Childs Nerv Syst. 2012; 28: 1203-1211.
Halani SH, Safain MG, Heilman CB. Arachnoid cyst slit valves: the mechanism for arachnoid cyst enlargement. J Neurosurg Pediatr. 2013;12: 62-66.
Mohn A, Schoof E, Fahlbusch R, et al. The endocrine spectrum of arachnoid cysts in childhood. Pediatr Neurosurg. 1999; 31: 316-21.
Cress M, Kestle JRW, Holubkov R, et al. Risk factors for pediatric arachnoid cyst rupture/hemorrhage. Neurosurgery. 2013; 72: 716-22.
Huang JH, Mei WZ, Chen Y, et al. Analysis on clinical characteristics of intracranial arachnoid cysts in 488 pediatric cases. Int J Clin Exp Med. 2015; 8: 18343-18350.
Peter JC, Fieggen G. Congenital malformations of the brain--a neurosurgical perspective at the close of the twentieth century. Childs Nerv Syst. 1999; 15(11-12): 635-645.
Galassi E, Tognetti F, Gaist G, et al. CT scan and metrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: classification and pathophysiological aspects. Surg Neurol. 1982; 17(5): 363-369.
Jamjoom ZA, Okamoto E, Jamjoom AH, et al. Bilateral arachnoid cysts of the sylvian region in female siblings with glutaric aciduria type I. Report of two cases. J Neurosurg . 1995; 82: 1078–1081.
Taillibert S, Le Rhun E, Chamberlain MC. Intracranial cystic lesions: a review. Current neurology and neuroscience reports. 2014; 14(9): 481.
Weber R, Voit T, Lumenta C, et al. Spontaneous regression of a temporal arachnoid cyst. Childs Nerv Syst. 1991; 7(7): 414-415.
Türeyen K, Türkkan A. Benign İntrakraniyal ve İntraspinal Kistler. In: Korfalı E, Zileli M, eds. Temel Nöroşirürji. 2. Baskı. Ankara: Türk Nöroşirürji Derneği Yayınları; 2010. p.1871-1881.
Galassi E, Gaist G, Giuliani G, et al. Arachnoid cysts of the middle cranial fossa: experience with 77 cases treated surgically. Acta Neurochir Suppl (Wien). 1988; 42: 201-204.
McBride LA, Winston KR, Freeman JE. Cystoventricular shunting of intracranial arachnoid cysts. Pediatr Neurosurg. 2003; 39: 323-9.
Zhang B, Zhang Y, Ma Z. Long-term results of cystoperitoneal shunt placement for the treatment of arachnoid cysts in children. Journal of Neurosurgery: Pediatrics. 2012; 10(4): 302-305.
Turhan T. Araknoid kistler. In: Baykaner, MK, Erşahin Y, Mutluer S, Özek MM, eds. Pediatrik Nöroşirürji. 1. Baskı. Ankara. Türk Nöroşirürji Derneği Yayınları; 2014. p.135-139.
Erşahin Y, Kesikçi H, Rüksen M, et al. Endoscopic treatment of suprasellar arachnoid cysts. Child's Nervous System. 2008; 24(9): 1013-1020.
Kelly KA, Sherburn MM, Sellyn GE, et al. Management of Suprasellar Arachnoid Cysts in Children: A Systematic Literature Review Highlighting Modern Endoscopic Approaches. World Neurosurgery. 2020; 141: e316-e323.
Turhan T, Erşahin Y, Akıntürk N, et al. Fenestration methods for Sylvian arachnoid cysts—endoscopy or microsurgery. Child's Nervous System. 2012; 28(2): 229-235.
Chen Y, Fang HJ, Li Z, et al. Treatment of middle cranial fossa arachnoid cysts: a systematic review and meta-analysis. World neurosurgery. 2016; 92: 480-490.
Schulz M, Kimura T, Akiyama O, et al. Endoscopic and microsurgical treatment of sylvian fissure arachnoid cysts—clinical and radiological outcome. World Neurosurgery. 2015; 84(2): 327-336.
Das JM, Dossani RH. Cavum Septum Pellucidum. StatPearls [Internet]. 2020.
Oteruelo FT. On the cavum septi pellucidi and the cavum Vergae. Anat Anz. 1986; 162: 271–278.
Born CM, Meisenzahl EM, Frodl T, et al. The septum pellucidum and its variants. An MRI study. Eur Arch Psychiatry Clin Neurosci. 2004; 254: 295–302.
Osborn AG, Preece MT. Intracranial cysts: radiologicpathologic correlation and imaging approach. Radiology. 2006; 239: 650– 664.
Farruggia S, Babcock DS. The cavum septi pellucidi: its appearance and incidence with cranial ultrasonography in infancy. Radiology. 1981; 139: 147–150.
Saba L, Anzidei M, Raz E, et al. MR and CT of brain's cava. Journal of Neuroimaging. 2013; 23(3): 326-335.
Simonin A, Lind CRP. Surgical management of symptomatic cavum septum pellucidum cysts: systematic review of the literature. Neurosurgical Review. 2020; 1-8.
Gazioğlu N, Kafadar AM, Abuzayed B. Endoscopic treatment of cavum vergae cyst: case report and review. The Turkish journal of pediatrics. 2011; 53(5): 590-594.
De Leucio A, Dossani RH. Cavum Veli Interposit. StatPearls [Internet]. 2020.
Mourgela S, Sakellaropoulos A, Gouliamos A, et al. Cavum veli interpositi: Why this anatomical variant exists. Int J Anat Var. 2010; 3(1): 2-5.
Kier LE. The evolutionary and embryologic basis for the development and anatomy of the cavum veli interpositi. AJNR Am J Neuroradiol. 1999; 20(7): 1383-1384.
Chen CY, Chen FH, Lee CC, et al. Sonographic characteristics of the cavum velum interpositum. AJNR Am J Neuroradiol. 1998; 19(9): 1631-1635
Aldur MM, Celik HH, Gürcan F, et al. Frequency of cavum veli interpositi in non-psychotic population: a magnetic resonance imaging study. J Neuroradiol. 2001; 8(2): 92-6
.Raimondi AJ, Gutierrez FA, Jones RR, et al. Cystic cavum veli interpositi associated with normal or low pressure hydrocephalus. Childs Brain. 1975; 1(5): 291-305.
Gangemi M, Donati P, Maiuri F, et al. Cyst of the velum interpositum treated by endoscopic fenestration. Surg Neurol. 1997; 47(2): 134-6.
Eisenberg VH, Zalel Y, Hoffmann C, et al. Prenatal diagnosis of cavum velum interpositum cysts: significance and outcome. Prenat Diagn. 2003; 23: 779–783.
Gangemi M, Maiuri F, Cappabianca P, et al. Endoscopic fenestration of symptomatic septum pellucidum cysts: three case reports with discussion on the approaches and technique. Minim Invasive Neurosurg. 2002; 45: 105–108.
Douzenis A, Rizos EN, Papadopoulou A, et al. Porencephaly and psychosis: a case report and review of the literature. BMC psychiatry. 2010; 10(1): 1-4.
Mancini GMS, De Coo IFM, Lequin MH, et al. Hereditary porencephaly: clinical and MRI findings in two Dutch families. European Journal of Paediatric Neurology. 2004; 8(1): 45-54.
Stevenson RE, Hall JG. Porencephaly. Human Malformations and related Anomalies Oxford University Press. 2006; 2: 645-654.
Osborn AG. Porencephalic cyst. In: Diagnostic imaging: brain. Salt Lake City, UT: Amirsys; 2004g. p. I-7–36.
Tonni G, Ferrari B, Defelice C, et al. Neonatal porencephaly in very low birth weight infants: Ultrasound timing of asphyxial injury and neurodevelopmental outcome at two years of age. The Journal of Maternal-Fetal and Neonatal Medicine. 2005; 18(6): 361-365.
Govaert P. Prenatal stroke. In: Seminars in Fetal and Neonatal Medicine. WB Saunders; 2009. p. 250-266.
Koch CA, Moore JL, Krähling KH, et al. Fenestration of porencephalic cysts to the lateral ventricle: experience with a new technique for treatment of seizures. Surgical neurology. 1998; 49(5):524-533.
Kazan S. Gelişimsel orta hat kistleri, nöroenterik kist, ependimal kist, poransefalik kist. In: Baykaner, MK, Erşahin Y, Mutluer S, Özek MM, eds. Pediatrik Nöroşirürji. 1. Baskı. Ankara. Türk Nöroşirürji Derneği Yayınları; 2014. p.123-133.
Pawar SJ, Sharma RR, Mahapatra AK, et al. Giant ependymal cyst of the temporal horn: an unusual presentation—case report with review of the literature. Pediatr Neurosurg. 2001; 34: 306–10.
Vandesteen L, Drier A, Galanaud D, et al. Imaging findings of intraventricular and ependymal lesions. Journal of Neuroradiology. 2013; 40(4): 229-244.
Boockvar JA, Shafa R, Forman MS, et al. Symptomatic lateral ventricular ependymal cysts: criteria for distinguishing these rare cysts from other symptomatic cysts of the ventricles: case report. Neurosurgery. 2000; 46(5): 1229-1233.
El Damaty A, Marx S, Fleck S, et al. Neuroendoscopic approach to intracranial ependymal cysts. World neurosurgery. 2017; 97: 383-389.
Osborn AG. Ependymal cyst. In: Diagnostic imaging: brain. Salt Lake City, UT: Amirsys; 2004g. p. I-7–34.
Ciricillo SF, Davis RL, Wilson CB. Neuroepithelial cysts of the posterior fossa. J Neurosurg. 1990; 72: 302–305.
Gankpé GF, Ndekha GJ, Okacha N, et al. Intracranial ependymal cyst with unusual presentation: Case report and review of literature. Interdisciplinary Neurosurgery. 2019; 17: 45-48.
Coca S, Martinez A, Vaquero J, et al. Immunohistochemical study of intracranial cysts. Histol Histopathol. 1993; 8: 651–654.
El-Ghandour NM. Endoscopic treatment of intraventricular ependymal cysts in children: personal experience and review of literature. Child's Nervous System. 2018; 34(12): 2441-2448.
Chen CT, Lai HY, Jung SM, et al. Neurenteric cyst or neuroendodermal cyst? Immunohistochemical study and pathogenesis. World neurosurgery. 2016; 96: 85-90.
Little MW, Guilfoyle MR, Bulters DO, et al. Neurenteric cyst of the anterior cranial fossa: case report and literature review. Acta neurochirurgica. 2011; 153(7): 1519-1525.
Gauden AJ, Khurana VG, Tsui AE, et al. Intracranial neuroenteric cysts: a concise review including an illustrative patient. Journal of Clinical Neuroscience. 2012; 19(3): 352-359.
Osborn AG. Neurenteric cyst. In: Diagnostic imaging: brain. Salt Lake City, UT: Amirsys; 2004. p. I-7–40.
Harris CP, Dias MS, Brockmeyer DL, et al. Neurenteric cysts of the posterior fossa: recognition management, and embryogenesis. Neurosurgery. 1991; 29: 893–7.
Christiansen PA, Jane Jr JA. Neuroenteric cysts In: Jallo GI, Kothbauer KF, Recinos VMR (Eds). Handbook of Pediatric Neurosurgery. New York: Thieme; 2018. p. 253–255.
Wang L, Zhang J, Wu Z, et al. Diagnosis and management of adult intracranial neurenteric cysts. Neurosurgery. 2011; 68: 44–52.
Dias LN, Roldán PP, Quesada AG, et al. Supratentorial neuroenteric cyst in children: a case report and brief literature review. Child's Nervous System. 2019; 35(11): 2227-2231.
Al-Ahmed IH, Boughamoura M, Dirks P, et al. Neurosurgical management of neurenteric cysts in children. Journal of Neurosurgery: Pediatrics. 2013; 11(5):511-517.
Kozak J, Bizik I, Surkala J, et al. Neurenteric cysts, incidence and surgical treatment. Bratislavske lekarske listy. 2019; 120(9): 680-685.
Chaynes P, Bousquet P, Sol JC, et al. Recurrent intracranial neurenteric cysts. Acta Neurochir (Wien). 1998;140: 905–11.
Draghi R, Mongardi L, Panzacchi R, et al. Choroid Plexus Cyst of the Fourth Ventricle Associated with Intermittent Obstructive Hydrocephalus. World Neurosurgery. 2020; 143: 152-157.
Herini E, Tsuneishi S, Takada S, et al. Clinical features of infants with subependymal germinolysis and choroid plexus cysts. Pediatr Int. 2003; 45: 692–696.
Naeini RM, Yoo JH, Hunter JV. Spectrum of choroid plexus lesions in children. American Journal of Roentgenology. 2009; 192(1): 32-40.
Sharma A, Dadhwal V, Rana A, et al. Isolated large bilateral choroid plexus cysts associated with trisomy 18. BMJ case reports. 2019; 12(3): e229216.
Osborn AG. Choroid plexus cyst. In: Diagnostic imaging: brain. Salt Lake City, Utah: Amirsys; 2004. p. I-7–30.
Nahed B, Darbar A, Doiron R, et al. Acute hydrocephalus secondary to obstruction of the foramen of Monro and cerebral aqueduct caused by a choroid plexus cyst in the lateral ventricle: case report. J Neurosurg. 2007; 107: 236–239.
Spennato P, Chiaramonte C, Cicala D, et al. Acute triventricular hydrocephalus caused by choroid plexus cysts: a diagnostic and neurosurgical challenge. Neurosurg Focus. 2016; 41(5): E9.
Marquez YB, Gromadzyn G, Testa VT, et al. Choroid plexus cyst causing acute hydrocephalus and transtentorial herniation: report of a rare case and its successful neuroendoscopic treatment. Child's Nervous System. 2021:1-5.
Azab WA, Mijalcic RM, Aboalhasan AA, et al. Endoscopic management of a choroid plexus cyst of the third ventricle: case report and documentation of dynamic behavior. Childs Nerv Syst. 2015; 31: 815-819.
Eboli P, Danielpour M. Acute obstructive hydrocephalus due to a large posterior third ventricle choroid plexus cyst. Pediatr Neurosurg. 2011; 47(4): 292–294.
Vazhayil V, Sadashiva N, Nayak N, et al. Surgical management of colloid cysts in children: experience at a tertiary care center. Child's Nervous System. 2018; 34(6): 1215-1220.
Lagman C, Rai K, Chung LK, et al. Fatal colloid cysts: a systematic review. World neurosurgery. 2017; 107: 409-415.
Goyal N, Sharma BS, Mahapatra AK. Third ventricular colloid cysts in children-a series of eight cases and review of the literature. Turkish neurosurgery. 2014; 24(1): 1-7.
Kumar V, Behari S, Singh RK, et al. Pediatric colloid cysts of the third ventricle: management considerations. Acta neurochirurgica. 2010; 152(3): 451-461.
Maqsood AA, Devi IB, Mohanty A, et al. Third ventricular colloid cysts in children. Pediatric neurosurgery. 2006; 42(3): 147-150.
Burger PC, Scheithauer BW. Benign cystic lesions, in Tumors of the Central Nervous System, in Atlas of Tumor Pathology. Bethesda, Armed Forces Institute of Pathology; 1994. p. 355–367.
McCrea HJ, Lara-Reyna J, Perera I, et al. Colloid cysts of the third ventricle in children. Journal of Neurosurgery: Pediatrics. 2021; 27(6): 700-706.
Osborn AG, Salzman KL, Jhaveri MD, et al. Colloid cyst. In Diagnostic imaging: brain e book. Elsevier Health Sciences; 2015. I-7 p. 612-615.
Macdonald RL. Colloid cysts in children. In: Berger MS, Prados MD, editors. Textbook of neuro-oncology. Philadelphia: Elsevier Saunders; 2005. p. 735.
Lacroix-Boudhrioua V, Linglart A, Ancel PY, et al. Pineal cysts in children. Insights into imaging. 2011; 2(6): 671-678.
Kahilogullari G, Massimi L, Di Rocco C. Pineal cysts in children: case-based update. Child's Nervous System. 2013; 29(5): 753-760.
Tomita T. Pineal region tumors. In: Albright AE, Pollack IF, Adelson PD (eds) Principles and practice of pediatrics neurosurgery, 2nd edn. Thieme Medical Publishers, New York; 2008. p.560-585
Bosnjak J, Budisic M, Azman D, et al. Pineal gland cyst—an overview. Acta Clin Croat. 2009; 48: 355–358.
Laure-Kamionowska M, Maslinska D, Deregowski CE, et al. Morphology of pineal glands in human foetuses and infants with brain lesions. Folia Neuropathol. 2003; 41: 209–215.
Petitcolin V, Garcier JM, Mohammedi R, et al. Prevalence and morphology of pineal cysts discovered at pituitary MRI: review of 1844 examinations. J Radiol. 2002; 83: 141–145.
Nevins EJ, Das K, Bhojak M, et al. Incidental pineal cysts: is surveillance necessary?. World neurosurgery. 2016; 90: 96-102.
Al-Holou WN, Garton HJL, Muraszko KM, et al. Prevalence of pineal cysts in children and young adults. Clinical article. J Neurosurg Pediatr. 2009; 4: 230–236.
Pu Y, Mahankali S, Hou J, et al. High prevalence of pineal cysts in healthy adults demonstrated by high-resolution, noncontrast brain MR imaging. American journal of neuroradiology. 2007; 28(9): 1706-1709.
Al-Holou WN, Maher CO, Muraszko KM, et al. The natural history of pineal cysts in children and young adults. J Neurosurg Pediatr. 2010; 5: 162–166.
McNeely PD, Howes WJ, Mehta V. Pineal apoplexy: is it a facilitator for the development of pineal cysts? Can J Neurol Sci. 2003; 30: 67–71.
Sarikaya-Seiwert S, Turowski B, Hanggi D, et al. Symptomatic intracystic hemorrhage in pineal cyst. Report of 3 cases. J Neurosurg Pediatr. 2009; 4: 130–136.
Jussila MP, Olsén P, Salokorpi N, et al. Follow-up of pineal cysts in children: is it necessary?. Neuroradiology. 2017; 59(12): 1265-1273.
Gupta AK, Jones M, Prelog K, et al. Pineal cysts—A benign association with familial retinoblastoma. Pediatric hematology and oncology. 2016; 33(6): 408-414.
Kumar KV, Verma A, Modi KD, et al. Precocious puberty and pineal cyst—an uncommon association. Indian Pediatr. 2010; 17: 193–194.
Mandera M, Marcol W, Bierzynska-Macyszyn G, et al. Pineal cysts in childhood. Childs Nerv Syst. 2003; 19: 750– 755
Taraszewska A, Matyja E, Koszewski W, et al. Asymptomatic and symptomatic glial cyst of the pineal gland. Folia Neuropathol. 2008; 46: 186–195.
