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Suprasellar arachnoid cyst

MedGen UID:
868488
•Concept ID:
C4022882
•
Anatomical Abnormality
HPO: HP:0012489

Definition

An arachnoid cyst that progressively enlarges from an abnormality in the membrane of Liliequist or in the interpeduncular cistern, and typically, expands from the prepontine space, displacing the floor of the third ventricle upwards, the pituitary stalk and optic chiasm upwards and forwards, and the mammillary bodies upwards and backwards. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSuprasellar arachnoid cyst

Professional guidelines

PubMed

Treatment of central precocious puberty with an LHRH agonist (Buserelin): effect on growth and bone maturation after three years of treatment.
Rappaport R, Fontoura M, Brauner R
Horm Res 1987;28(2-4):149-54. doi: 10.1159/000180938. PMID: 2969858

Recent clinical studies

Etiology

Classification of the relationship between suprasellar arachnoid cyst and hydrocephalus based on treatment modalities: shunting versus neuroendoscopic approaches.
Cao H, Guo G, Wu W, Cheng Z
Childs Nerv Syst 2024 Sep;40(9):2893-2903. Epub 2024 Jun 1 doi: 10.1007/s00381-024-06478-6. PMID: 38822205
The prepontine block and its relevance for the development and treatment of hydrocephalus.
Richetta C, Shiran SI, Constantini S, Roth J
Childs Nerv Syst 2024 May;40(5):1577-1581. Epub 2024 Feb 20 doi: 10.1007/s00381-024-06323-w. PMID: 38376529Free PMC Article
Clinical value of classification in the treatment of children with suprasellar arachnoid cysts.
Zhao H, Cao L, Zhao Y, Wang B, Tian S, Ma J
Childs Nerv Syst 2023 Mar;39(3):767-773. Epub 2022 Sep 6 doi: 10.1007/s00381-022-05656-8. PMID: 36065031
Low-Cost Interactive Image-Based Virtual Endoscopy for the Diagnosis and Surgical Planning of Suprasellar Arachnoid Cysts.
Li Y, Zhao Y, Zhang J, Zhang Z, Dong G, Wang Q, Liu L, Yu X, Xu B, Chen X
World Neurosurg 2016 Apr;88:76-82. Epub 2015 Dec 28 doi: 10.1016/j.wneu.2015.12.038. PMID: 26732948
Outcome of 12 antenatally diagnosed fetal arachnoid cysts: case series and review of the literature.
De Keersmaecker B, Ramaekers P, Claus F, Witters I, Ortibus E, Naulaers G, Van Calenbergh F, De Catte L
Eur J Paediatr Neurol 2015 Mar;19(2):114-21. Epub 2014 Dec 27 doi: 10.1016/j.ejpn.2014.12.008. PMID: 25599983

Diagnosis

Classification of the relationship between suprasellar arachnoid cyst and hydrocephalus based on treatment modalities: shunting versus neuroendoscopic approaches.
Cao H, Guo G, Wu W, Cheng Z
Childs Nerv Syst 2024 Sep;40(9):2893-2903. Epub 2024 Jun 1 doi: 10.1007/s00381-024-06478-6. PMID: 38822205
Clinical value of classification in the treatment of children with suprasellar arachnoid cysts.
Zhao H, Cao L, Zhao Y, Wang B, Tian S, Ma J
Childs Nerv Syst 2023 Mar;39(3):767-773. Epub 2022 Sep 6 doi: 10.1007/s00381-022-05656-8. PMID: 36065031
Prenatally Symptomatic Suprasellar Arachnoid Cyst: When to treat? A case-base update.
Silva Baticam N, Aloy E, Rolland A, Fuchs F, Roujeau T
Neurochirurgie 2022 Dec;68(6):679-683. Epub 2022 Jul 27 doi: 10.1016/j.neuchi.2022.07.004. PMID: 35907443
Low-Cost Interactive Image-Based Virtual Endoscopy for the Diagnosis and Surgical Planning of Suprasellar Arachnoid Cysts.
Li Y, Zhao Y, Zhang J, Zhang Z, Dong G, Wang Q, Liu L, Yu X, Xu B, Chen X
World Neurosurg 2016 Apr;88:76-82. Epub 2015 Dec 28 doi: 10.1016/j.wneu.2015.12.038. PMID: 26732948
Outcome of 12 antenatally diagnosed fetal arachnoid cysts: case series and review of the literature.
De Keersmaecker B, Ramaekers P, Claus F, Witters I, Ortibus E, Naulaers G, Van Calenbergh F, De Catte L
Eur J Paediatr Neurol 2015 Mar;19(2):114-21. Epub 2014 Dec 27 doi: 10.1016/j.ejpn.2014.12.008. PMID: 25599983

Therapy

Clinical value of classification in the treatment of children with suprasellar arachnoid cysts.
Zhao H, Cao L, Zhao Y, Wang B, Tian S, Ma J
Childs Nerv Syst 2023 Mar;39(3):767-773. Epub 2022 Sep 6 doi: 10.1007/s00381-022-05656-8. PMID: 36065031
Bobble-head doll syndrome in an infant with an arachnoid cyst: a case report.
Doya LJ, Kadri H, Jouni O
J Med Case Rep 2022 Oct 28;16(1):393. doi: 10.1186/s13256-022-03623-0. PMID: 36303240Free PMC Article
Suprasellar arachnoid cyst due to ectopic choroid plexus: case report.
Labuschagne J, Mutyaba D, Pillay T, Swart P
Childs Nerv Syst 2022 Jul;38(7):1381-1384. Epub 2021 Oct 19 doi: 10.1007/s00381-021-05395-2. PMID: 34665306
Pituitary abscess following endoscopic endonasal drainage of a suprasellar arachnoid cyst: Case report and review of the literature.
Ovenden CD, Almeida JP, Oswari S, Gentili F
J Clin Neurosci 2019 Oct;68:322-328. Epub 2019 Aug 8 doi: 10.1016/j.jocn.2019.07.081. PMID: 31402262
Supraorbital keyhole approach for suprasellar arachnoid cyst: how I do it.
Venier A, Reinert M, Robert T
Acta Neurochir (Wien) 2019 Aug;161(8):1709-1713. Epub 2019 Jun 5 doi: 10.1007/s00701-019-03965-7. PMID: 31168731

Prognosis

Clinical value of classification in the treatment of children with suprasellar arachnoid cysts.
Zhao H, Cao L, Zhao Y, Wang B, Tian S, Ma J
Childs Nerv Syst 2023 Mar;39(3):767-773. Epub 2022 Sep 6 doi: 10.1007/s00381-022-05656-8. PMID: 36065031
Penetration of an Optic Nerve by a Sellar/Suprasellar Arachnoid Cyst.
Dawkins RL, Hackney JR, Riley KO
World Neurosurg 2016 Mar;87:662.e7-11. Epub 2015 Nov 5 doi: 10.1016/j.wneu.2015.10.077. PMID: 26548826
Suprasellar arachnoid cyst resulting in the syndrome of inappropriate antidiuretic hormone secretion.
Beier AD, Cheshier SH, Chakraborty A, Dirks P
J Neurosurg Pediatr 2010 Nov;6(5):486-8. doi: 10.3171/2010.8.PEDS10156. PMID: 21039174
Suprasellar arachnoid cyst: a 20- year follow-up after stereotactic internal drainage: case report and review of the literature.
Güzel A, Trippel M, Ostertage CB
Turk Neurosurg 2007 Jul;17(3):211-8. PMID: 17939110
Suprasellar arachnoid cysts: options in operative management.
Rappaport ZH
Acta Neurochir (Wien) 1993;122(1-2):71-5. doi: 10.1007/BF01446989. PMID: 8333311

Clinical prediction guides

Massive traumatic epidural hematoma in a child with suprasellar arachnoid cyst and hydrocephalus.
Cao H, Guo G
Brain Inj 2024 Nov 9;38(13):1152-1155. Epub 2024 Jul 14 doi: 10.1080/02699052.2024.2378839. PMID: 39003759
The prepontine block and its relevance for the development and treatment of hydrocephalus.
Richetta C, Shiran SI, Constantini S, Roth J
Childs Nerv Syst 2024 May;40(5):1577-1581. Epub 2024 Feb 20 doi: 10.1007/s00381-024-06323-w. PMID: 38376529Free PMC Article
Clinical value of classification in the treatment of children with suprasellar arachnoid cysts.
Zhao H, Cao L, Zhao Y, Wang B, Tian S, Ma J
Childs Nerv Syst 2023 Mar;39(3):767-773. Epub 2022 Sep 6 doi: 10.1007/s00381-022-05656-8. PMID: 36065031
Low-Cost Interactive Image-Based Virtual Endoscopy for the Diagnosis and Surgical Planning of Suprasellar Arachnoid Cysts.
Li Y, Zhao Y, Zhang J, Zhang Z, Dong G, Wang Q, Liu L, Yu X, Xu B, Chen X
World Neurosurg 2016 Apr;88:76-82. Epub 2015 Dec 28 doi: 10.1016/j.wneu.2015.12.038. PMID: 26732948
Penetration of an Optic Nerve by a Sellar/Suprasellar Arachnoid Cyst.
Dawkins RL, Hackney JR, Riley KO
World Neurosurg 2016 Mar;87:662.e7-11. Epub 2015 Nov 5 doi: 10.1016/j.wneu.2015.10.077. PMID: 26548826

Recent systematic reviews

Management of Suprasellar Arachnoid Cysts in Children: A Systematic Literature Review Highlighting Modern Endoscopic Approaches.
Kelly KA, Sherburn MM, Sellyn GE, Ahluwalia R, Foster J, Shannon CN, Bonfield CM
World Neurosurg 2020 Sep;141:e316-e323. Epub 2020 May 21 doi: 10.1016/j.wneu.2020.05.122. PMID: 32445899

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