Outcome in children with space-occupying posterior fossa arachnoid cysts.

Abstract:

:While prognostic information for Dandy-Walker syndrome and non-progressive cerebellar ataxia/cerebellar hypoplasia is available, surprisingly scant literature reports are found for space-occupying posterior fossa arachnoid cysts (PFAC). We describe the outcome of patients with symptomatic PFAC shunted as infants. Only 11 children were seen over a 20-year period (1980-1999). Cyst location was retrocerebellar (n = 8), supravermian (n = 2) and in the cerebellopontine angle (n = 1). Motor and cognitive impairments in one child were interpreted as the result of neurosurgical complications (intraventricular and intracerebral haemorrhage). One 6-year-old boy had mild truncal ataxia and mild cognitive delay. The 9 other patients had no evidence of ataxia or clumsiness and had average, some even above average, cognitive ability and scholastic achievements. Epilepsy was not a feature. We conclude that the prognosis of PFAC for cognitive development and neurological signs is favourable.

journal_name

Neuropediatrics

journal_title

Neuropediatrics

authors

Boltshauser E,Martin F,Altermatt S

doi

10.1055/s-2002-33674

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

118-21

issue

3

eissn

0174-304X

issn

1439-1899

journal_volume

33

pub_type

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