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Spontaneous Regression Of A Temporal Arachnoid Cyst

Weber et al., 1991Other/Unknown

Zätterström, U., Aanesen, J. P., & Kolbenstvedt, A. (2009). Case report: spontaneous regression of a supraclavicular thoracic duct cyst: case report with a follow-up of 25 years. The British journal of radiology, 82(980), e148–e150. https://doi.org/10.1259/bjr/61472642

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Abstract

Surgery is considered to be the standard therapy for arachnoid cysts (ACs). We report the case of a 13-year-old boy in whom a right temporal AC disappeared spontaneously over a period of 10 years. Bulging of the right temporal skull led to the detection of the cyst by computed tomography (CT) scan at the age of 3 years. There were no other clinical symptoms. Subsequent CT scans showed spontaneous regression of the cyst without surgical intervention. The question as to how ACs should be treated is discussed.

Case Details

Disease Location

Brain

Personal Characteristics

13 years old boy

Clinical Characteristics

Palpable bulging of the right temporal skull at the age of 3. No history of head trauma. Normal psychomotor development. Right temporal arachnoid cysts (acs) of 5 cm detected.

Remission Characteristics

Acs dissapeared over a period of 10 years.

Treatment & Mechanisms

Proposed Remission Mechanisms

Tear in the cyst wall caused by trauma may have led to the formation of a subdural hygroma with consecutive absorpatiention of the cyst fluid

Clinical Treatment

No surgery. Just regular monitoring over a period of 10 years