The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Konovalov A.N.

Burdenko Neurosurgical Center

Nazarov V.V.

Burdenko Neurosurgical Center

Linde N.N.

Pirogov Russian National Research Medical University

Kadasheva A.B.

Burdenko Neurosurgical Center

Spirin D.S.

Burdenko Neurosurgical Center

Andreev D.N.

Burdenko Neurosurgical Center

Kuldashev K.A.

Andijan State Medical Institute

Galstyan S.A.

Burdenko Neurosurgical Center

Aslakhanova K.S.

Burdenko Neurosurgical Center

Zakharova N.E.

Burdenko Neurosurgical Center

Kozlov A.V.

Burdenko Neurosurgical Center

Brainstem arachnoid cyst: case report and review

Authors:

Konovalov A.N., Nazarov V.V., Linde N.N., Kadasheva A.B., Spirin D.S., Andreev D.N., Kuldashev K.A., Galstyan S.A., Aslakhanova K.S., Zakharova N.E., Kozlov A.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2021;85(5): 88‑94

DOI: 10.17116/neiro20218505188

Read: 14779 times

Download PDF (RU)
Download PDF
Contact the author
Table of contents

BRAINSTEM ARACHNOID CYST: CASE REPORT AND REVIEW
BRAINSTEM ARACHNOID CYST: CASE REPORT AND REVIEW

To cite this article:

Konovalov AN, Nazarov VV, Linde NN, et al. Brainstem arachnoid cyst: case report and review. Burdenko's Journal of Neurosurgery. 2021;85(5):88‑94. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20218505188

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Long-term clinical outcomes of patients with loca­lly adva­nced gastric adenocarcinoma after two indu­ction cycles of chemotherapy acco­rding to the FLOT regi­men followed by chemoradiotherapy and radi­cal surgery. P.A. Herzen Journal of Onco­logy. 2025;(2):5-12
Three-dimensional mode­ling and intraoperative navi­gation in the diagnosis and treatment of various forms of adenomyosis. Russian Journal of Human Reproduction. 2025;(2):92-100
Peri­neal endo­metriosis after deli­very: causes of deve­lopment, treatment, prevention. Russian Bulletin of Obstetrician-Gynecologist. 2025;(3):79-83
Surgical significance of various types of inte­rnal caro­tid artery tortuosity. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):392-398
Pregnancy in a patient with fami­lial adenomatous poly­posis of the colon. Russian Bulletin of Obstetrician-Gynecologist. 2025;(4):94-97
The role of perioperative reha­bilitation of patients in surgical treatment of pelvic and lower extremity bone tumors with endo­prosthesis. P.A. Herzen Journal of Onco­logy. 2025;(4):22-28
Targeted bone rege­neration in the treatment of patients with chro­nic gene­ralized periodontitis. Stomatology. 2025;(4):33-36
A clinical case of surgical treatment of a large odontogenic kera­tocyst. Stomatology. 2025;(4):93-97
Intraneural ganglion of the pero­neal nerve: a case report and review. Russian Journal of Pain. 2025;(3):66-72
Modern aspe­cts of plastic restoration of the skin in younger children with critical burns. Plastic Surgery and Aesthetic Medi­cine. 2025;(3):22-29
Abstract:

There are no literature data on brainstem arachnoid cysts in humans.

OBJECTIVE

To describe the clinical case of brainstem (pontomesencephalic) arachnoid cyst and to analyze classification, pathogenesis, differential diagnosis and treatment of this pathology considering literature data and own experience.

MATERIAL AND METHODS

A 29-year-old patient with pontomesencephalic arachnoid cyst is reported. The disease manifested in childhood with a headache aggravated by bending and pushing. Later, syncope, vegetative-visceral paroxysms, mild oculomotor disturbances, transient paresthesia and numbness of the left half of the face occurred. Headaches became significantly more severe and resulted nausea and vomiting. Magnetic resonance imaging (MRI) revealed a two-chambered arachnoid cyst. A smaller chamber was localized in interpeduncular cistern, a larger one - in brainstem.

RESULTS AND DISCUSSION

Differential diagnosis included cystic glioma and Virchow-Robin space enlargement. Fenestration of the cyst wall within interpeduncular cistern was performed via right-sided pterional approach. The diagnosis was verified by histological examination. The follow-up period was 14 months. We observed postoperative cyst reduction confirmed by MR data and regression of all symptoms except for minimal signs of medial longitudinal fasciculus dysfunction.

CONCLUSION

Correct surgical approach for brainstem arachnoid cyst complicated by progressive neurological deterioration is confirmed by postoperative regression of cyst and symptoms.

Keywords:

arachnoid cyst
brainstem
pontomesencephalic junction
surgical treatment

Authors:

Konovalov A.N.

Burdenko Neurosurgical Center

Nazarov V.V.

Burdenko Neurosurgical Center

Linde N.N.

Pirogov Russian National Research Medical University

Kadasheva A.B.

Burdenko Neurosurgical Center

Spirin D.S.

Burdenko Neurosurgical Center

Andreev D.N.

Burdenko Neurosurgical Center

Kuldashev K.A.

Andijan State Medical Institute

Galstyan S.A.

Burdenko Neurosurgical Center

Aslakhanova K.S.

Burdenko Neurosurgical Center

Zakharova N.E.

Burdenko Neurosurgical Center

Kozlov A.V.

Burdenko Neurosurgical Center

Received:

01.02.2021

Accepted:

05.08.2021

Close metadata

References:

  1. Fox JL, Al-Mefty O. Suprasellar Arachnoid Cysts: An Extension of the Membrane of Liliequist. Neurosurgery. 1980;7(6):615-618.  https://doi.org/10.1227/00006123-198012000-00016
  2. Struck AF, Murphy MJ, Iskandar BJ. Spontaneous development of a de novo suprasellar arachnoid cyst. Case report. Journal of Neurosurgery. 2006;104(suppl. 6):426-428.  https://doi.org/10.3171/ped.2006.104.6.426
  3. Rengachary SS, Watanabe I. Ultrastructure and pathogenesis of intracranial arachnoid cysts. Journal of Neuropathology and Experimental Neurology. 1981;40(1):61-83.  https://doi.org/10.1227/NEU.0000000000001049
  4. Al-Holou WN, Terman S, Kilburg C, Garton HJL, Muraszko KM, Maher CO. Prevalence and natural history of arachnoid cysts in adults. Journal of Neurosurgery. 2013;118(2):222-231.  https://doi.org/10.3171/2012.10.JNS12548
  5. Shekdar K. Posterior Fossa Malformations. Seminars in Ultrasound, CT and MRI. 2011;32(3):228-241.  https://doi.org/10.1053/j.sult.2011.02.003
  6. Kim JW, Jung DI, Kang BT, Kang MH, Park HM. Unilateral facial paresis secondary to a suspected brainstem arachnoid cyst in a Maltese dog. The Journal of Veterinary Medical Science. 2011;73(4):459-462.  https://doi.org/10.1292/jvms.09-0455
  7. Simon RP, Aminoff MJ, Greenberg DA. Lange Clinical Neurology. International Edition; 2018: 139-165. 
  8. André A, Zérah M, Roujeau T, Brunelle F, Blauwblomme T, Puget S, Bourgeois M, Sainte-Rose, C, Ville Y, Di Rocco F. Suprasellar Arachnoid Cysts: Toward a New Simple Classification Based on Prognosis and Treatment Modality. Neurosurgery. 2016;78(3):370-379.  https://doi.org/10.1227/NEU.0000000000001049
  9. Sarica C, Ziyal MI. Retroclival Arachnoid Cysts: Case Series, Literature Review, and New Classification Proposal. World Neurosurgery. 2019;121:e898-e907. https://doi.org/10.1016/j.wneu.2018.10.006
  10. Logan C, Asadi H, Kok H, Looby S, O’Hare A. Arachnoid Cysts — Common and Uncommon Clinical Presentations and Radiological Features. Journal of Neuroimaging in Psychiatry and Neurology. 2016;1(2):79-84.  https://doi.org/10.17756/jnpn.2016-010
  11. Yang S, Dai J, Zhang X, Jin Y. Intracerebral arachnoid cyst treated with ommaya reservoir implantation in a patient younger than two years. The Journal of Craniofacial Surgery. 2014;25(4):e378-380.  https://doi.org/10.1097/SCS.0000000000000926
  12. Akor C, Wojno TH, Newman NJ, Grossniklaus HE. Arachnoid cyst of the optic nerve: report of two cases and review of the literature. Ophthalmic Plastic and Reconstructive Surgery. 2003;19(6):466-469.  https://doi.org/10.1097/01.IOP.0000092798.36098.9C
  13. Spetzler RF, Kalani Y, Nakaji P, Yagmurlu K. Color Atlas of Brainstem Surgery. Thieme publishers New York/Stuttgart; 2017. https://doi.org/10.1055/b-0037-145080
  14. Kumar A, Gupta R, Garg A, Sharma BS. Giant mesencephalic dilated virchow robin spaces causing obstructive hydrocephalus treated by endoscopic third ventriculostomy. World Neurosurgery. 2015;84(6):2074.e11-2074.e14.  https://doi.org/10.1016/j.wneu.2015.07.010
  15. Tanaka M, Fujimoto Y, Hirayama R, Chiba Y, Hashimoto N, Yoshimine T. Clinical and radiological features of endodermal cyst in the oculomotor nerve: A case report. British Journal of Neurosurgery. 2015;29(1):105-106.  https://doi.org/10.3109/02688697.2014.957645
  16. Inci S, Al-Rousan N, Söylemezoglu F, Gurçay O. Intrapontomesencephalic colloid cyst: An unusual location. Case report. Journal of Neurosurgery. 2001;94(1):118-121.  https://doi.org/10.3171/jns.2001.94.1.0118
  17. Prieto R, Subhi-Issa I, Pascual JM. Ependymal cyst of the midbrain. Clinical Neuropathology. 2013;32(3):183-188.  https://doi.org/10.5414/NP300563
  18. Marlin E, Marlin A. Arachnoid cyst resolution. Journal of Neurosurgery. Pediatrics. 2010;5(3):310-311.  https://doi.org/10.3171/2009.2.PEDS0915
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.