Asymptomatic Pediatric Intracranial arachnoid cyst treatment
concluded that MRC with Gd-DTPA as a contrast agent is of significant clinical value for the diagnosis and treatment of children with intracranial ACs. This classification based on dynamic MRC is useful for making surgical recommendations 1).
advocate collaborative efforts to better understanding of the pathophysiology of paediatric ACs, particularly for deciding between the various surgical treatment modalities 2)
Asymptomatic, large Surgery controversial Theorized increased hemorrhage risk of large IACs
Asymptomatic, small Observation±repeat imaging Likely no need for repeat imaging after 4 years of age because symptomatic expansion is rare 3)
1)
Tan Z, Li Y, Zhu F, Zang D, Zhao C, Li C, Tong D, Zhang H, Chen Q. Children With Intracranial Arachnoid Cysts: Classification and Treatment. Medicine (Baltimore). 2015 Nov;94(44):e1749. doi: 10.1097/MD.0000000000001749. PMID: 26554773; PMCID: PMC4915874.
2)
Chan JL, Tan ALJ, Ng LP, Low DCY, Wan Tew S, Low SYY. Paediatric arachnoid cysts: Surgical outcomes from a Singapore children's hospital. J Clin Neurosci. 2021 Mar;85:122-131. doi: 10.1016/j.jocn.2020.12.030. Epub 2021 Jan 21. PMID: 33581782.
3)
Jafrani R, Raskin JS, Kaufman A, Lam S. Intracranial arachnoid cysts: Pediatric neurosurgery update. Surg Neurol Int. 2019 Feb 6;10:15. doi: 10.4103/sni.sni_320_18. PMID: 30815323; PMCID: PMC6383341.