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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Arachnoid Cyst In Brain

Hello, I am 42yr female with a left sided 5.6 * 4.3 arachnoid brain cyst. Over the past week I have had many symptoms. ie headache, dizziness, changes in vision, have sore neck and have felt faint all week. I went to ER and got an updated CT scan that showed no growth in the size. How successful is the surgery to remove these types of cyst s?
Fri, 31 Oct 2014
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Neurologist, Surgical 's  Response
Hi, I had gone through your question and understand your concerns.

First of all arachnoid cyst are not uncommon and they are benign.

Over the years different surgical techniques have been applied to remove or drain somehow the cyst and the result were disappointing reapect to the natyral history of these benign lesions. The main reason why are these cysts removed is headache, but there is no evidence that headache is related to the cyst. Furthermore, the headache does not disappear after cyst removal. The recurrence of cyst formation remains high. The only reasonable indication for surgery is cyst dimenaion growth.

So basically if your cyst, which probably is an incidental finding, remains the same, do not worry about, and dont think of surgery, because it will not take your headache away. Just have an MRI every two to three years to check the dimension, and avoid head contact activities or sports, because it has been releated with higher incidence of subdural hematomas in pts harboring a arachnoid cyst.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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Suggest Treatment For Arachnoid Cyst In Brain

Hi, I had gone through your question and understand your concerns. First of all arachnoid cyst are not uncommon and they are benign. Over the years different surgical techniques have been applied to remove or drain somehow the cyst and the result were disappointing reapect to the natyral history of these benign lesions. The main reason why are these cysts removed is headache, but there is no evidence that headache is related to the cyst. Furthermore, the headache does not disappear after cyst removal. The recurrence of cyst formation remains high. The only reasonable indication for surgery is cyst dimenaion growth. So basically if your cyst, which probably is an incidental finding, remains the same, do not worry about, and dont think of surgery, because it will not take your headache away. Just have an MRI every two to three years to check the dimension, and avoid head contact activities or sports, because it has been releated with higher incidence of subdural hematomas in pts harboring a arachnoid cyst. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.