Pediatric Intracranial arachnoid cyst treatment

see Asymptomatic Pediatric Intracranial arachnoid cyst treatment.

There is controversy regarding the role and the type of surgery indicated in its treatment.

Symptomatic Surgery Hydrocephalus, neurological deficit, localized seizures, cosmetic deformity

Possibly symptomatic Surgery controv ersial Headaches, nonlocalized seizures, developmental delay

Subdural hygroma secondary to rupture Surgery or expectant management depending on symptoms severity Usually present with symptoms of elevated ICP, can have benign natural history with spontaneous resolution

IACs can be challenging to manage. There is no Class I Evidence to guide how these should be treated. We suggest clinical decision-making framework as to how to treat IACs based on our understanding of the natural history, risks/benefits of treatments, and outcomes in the future, require better patient selection for the surgical management of IACs will be warranted ¹⁾