Abstract
A symptomatic arachnoid cyst in an elderly patient is rare. We report two cases of symptomatic arachnoid cysts in elderly patients. The first case is that of a 73-year-old woman complaining of headache and speech disturbance. She had an arachnoid cyst in the left interhemispheric fissure. This is rare. Only two interhemispheric arachnoid cysts in the elderly have ever been reported. The other case is that of a 64-year-old woman, having right hemiparesis and dementia and a cyst is shown in her left temporal lobe. Both patients underwent a cystectomy which resulted in the disappearance of their symptoms. Only 56 cases of symptomatic arachnoid cyst over the age of 60 years have ever been reported. We made an analysis of 58 cases, including our two cases, and compared it with child cases. In cases of the elderly, the symptoms are usually headache, hemiparesis, gait disturbance and dementia, which are similar to symptoms of chronic subdural hematoma and normal pressure hydrocephalus. On the other hand, child cases usually reveal signs of intracranial hypertension, Several authors have reported their therapeutic method for child symptomatic arachnoid cysts. However, it is difficult to determine the best method for treating child cases at this time. We think a cystectomy is the first choice of operative procedure for symptomatic arachnoid cyst in the elderly.
| Original language | English |
|---|---|
| Pages (from-to) | 959-965 |
| Number of pages | 7 |
| Journal | Neurological Surgery |
| Volume | 30 |
| Issue number | 9 |
| Publication status | Published - Sep 2002 |
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Keywords
- Elderly
- Interhemispheric fissure
- Symptomatic arachnoid cyst
- Treatment
ASJC Scopus subject areas
- Clinical Neurology
Cite this
Two cases of symptomatic arachnoid cysts in elderly patients - A comparison and analysis with child cases. / Hishikawa, Tomohito; Chikama, Masanori; Tsuboi, Masahiro; Yabuno, Nobuyoshi.
In: Neurological Surgery, Vol. 30, No. 9, 09.2002, p. 959-965.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Two cases of symptomatic arachnoid cysts in elderly patients - A comparison and analysis with child cases
AU - Hishikawa, Tomohito
AU - Chikama, Masanori
AU - Tsuboi, Masahiro
AU - Yabuno, Nobuyoshi
PY - 2002/9
Y1 - 2002/9
N2 - A symptomatic arachnoid cyst in an elderly patient is rare. We report two cases of symptomatic arachnoid cysts in elderly patients. The first case is that of a 73-year-old woman complaining of headache and speech disturbance. She had an arachnoid cyst in the left interhemispheric fissure. This is rare. Only two interhemispheric arachnoid cysts in the elderly have ever been reported. The other case is that of a 64-year-old woman, having right hemiparesis and dementia and a cyst is shown in her left temporal lobe. Both patients underwent a cystectomy which resulted in the disappearance of their symptoms. Only 56 cases of symptomatic arachnoid cyst over the age of 60 years have ever been reported. We made an analysis of 58 cases, including our two cases, and compared it with child cases. In cases of the elderly, the symptoms are usually headache, hemiparesis, gait disturbance and dementia, which are similar to symptoms of chronic subdural hematoma and normal pressure hydrocephalus. On the other hand, child cases usually reveal signs of intracranial hypertension, Several authors have reported their therapeutic method for child symptomatic arachnoid cysts. However, it is difficult to determine the best method for treating child cases at this time. We think a cystectomy is the first choice of operative procedure for symptomatic arachnoid cyst in the elderly.
AB - A symptomatic arachnoid cyst in an elderly patient is rare. We report two cases of symptomatic arachnoid cysts in elderly patients. The first case is that of a 73-year-old woman complaining of headache and speech disturbance. She had an arachnoid cyst in the left interhemispheric fissure. This is rare. Only two interhemispheric arachnoid cysts in the elderly have ever been reported. The other case is that of a 64-year-old woman, having right hemiparesis and dementia and a cyst is shown in her left temporal lobe. Both patients underwent a cystectomy which resulted in the disappearance of their symptoms. Only 56 cases of symptomatic arachnoid cyst over the age of 60 years have ever been reported. We made an analysis of 58 cases, including our two cases, and compared it with child cases. In cases of the elderly, the symptoms are usually headache, hemiparesis, gait disturbance and dementia, which are similar to symptoms of chronic subdural hematoma and normal pressure hydrocephalus. On the other hand, child cases usually reveal signs of intracranial hypertension, Several authors have reported their therapeutic method for child symptomatic arachnoid cysts. However, it is difficult to determine the best method for treating child cases at this time. We think a cystectomy is the first choice of operative procedure for symptomatic arachnoid cyst in the elderly.
KW - Elderly
KW - Interhemispheric fissure
KW - Symptomatic arachnoid cyst
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=0036712857&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036712857&partnerID=8YFLogxK
M3 - Article
C2 - 12233094
AN - SCOPUS:0036712857
VL - 30
SP - 959
EP - 965
JO - Neurological Surgery
JF - Neurological Surgery
SN - 0301-2603
IS - 9
ER -