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Shevchenko K.V.

Burdenko Neurosurgical Center

Kutin M.A.

Burdenko Neurosurgical Center

Ivanov V.V.

Burdenko Neurosurgical Center

Starostenko D.A.

Pirogov Russian National Research Medical University

Kalinin P.L.

Burdenko Neurosurgical Center

Giant retrosellar arachnoid cyst: a case report and literature review

Authors:

Shevchenko K.V., Kutin M.A., Ivanov V.V., Starostenko D.A., Kalinin P.L.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2025;89(6): 76‑83

DOI: 10.17116/neiro20258906176

Read: 587 times

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Table of contents

GIANT RETROSELLAR ARACHNOID CYST: A CASE REPORT AND LITERATURE REVIEW
GIANT RETROSELLAR ARACHNOID CYST: A CASE REPORT AND LITERATURE REVIEW

To cite this article:

Shevchenko KV, Kutin MA, Ivanov VV, Starostenko DA, Kalinin PL. Giant retrosellar arachnoid cyst: a case report and literature review. Burdenko's Journal of Neurosurgery. 2025;89(6):76‑83. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20258906176

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

BACKGROUND

Arachnoid cysts are predominantly congenital pathologies associated with cleft of arachnoid membrane of spinal cord or brain. Arachnoid cysts present with cerebral, hypertensive-hydrocephalic and focal symptoms. Localization of intracranial arachnoid cysts can vary. Only 12% of symptomatic arachnoid cysts are localized in posterior cranial fossa.

OBJECTIVE

To present successful treatment of a patient with retrosellar arachnoid cyst, review available literature data and compare clinical course and treatment outcomes.

MATERIAL AND METHODS

A 29-year-old female patient presented with long-term history of headache, dizziness, diplopia and statodynamic disturbances. Magnetic resonance imaging revealed giant retrosellar arachnoid cyst compressing the brainstem and causing hydrocephalus. The PubMed database was screened (2015—2025). Only full-text articles In Russian and English were included. References of these articles comprised secondary searching.

RESULTS AND DISCUSSION

Endoscopic cystoventriculocisternostomy of arachnoid cyst in posterior fossa was performed. Postoperative period was uneventful. Neurological and ophthalmological status was the same. MRI revealed significant improvement including cyst shrinkage and regression of symptoms over a 3-month period. There were only 7 relevant reports.

CONCLUSION

Correct surgical approach is confirmed by cyst shrinkage after surgery and clinical follow-up data.

Keywords:

arachnoid cyst
cerebrospinal fluid cyst
posterior cranial fossa
endoscopic cystoventriculostomy
endoscopic third ventriculostomy
endoscopic third ventriculocisternostomy
endoscopic cystoventriculocisternostomy
hydrocephalus

Authors:

Shevchenko K.V.

Burdenko Neurosurgical Center

Kutin M.A.

Burdenko Neurosurgical Center

Ivanov V.V.

Burdenko Neurosurgical Center

Starostenko D.A.

Pirogov Russian National Research Medical University

Kalinin P.L.

Burdenko Neurosurgical Center

Received:

20.04.2025

Accepted:

03.09.2025

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References:

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  3. S Bhatoe BH. Posterior Fossa Arachnoid Cyst Following Trauma in an Adult. Neurology India. 2022;70(3):1270-1272  https://doi.org/10.4103/0028-3886.349602
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