Cisto de aracnóide e pseudotumor cerebral: relato de caso

Cabral, Nilton Domingos; Nitrini, Ricardo; Plese, José Pindaro P.

doi:10.1590/S0004-282X1996000200020

Resumos

Relato do caso de paciente de 12 anos de idade com cisto de aracnóide na fossa craniana posterior e pseudotumor cerebral dependente de derivação cisto-peritoneal previamente instalada. Esta constatação corrobora assertivas da literatura que sugerem um mecanismo fisiopatológico em comum para estas duas entidades e que estaria relacionado a defeito no fluxo do líquido cefalorraqueano.

cisto aracnóideo; pseudotumor cerebral; fluxo do líquido cefalorraqueano

Report on a 12 years old patient with an arachnoid cyst of posterior cranial fossa and pseudotumor cerebri. This patient is a shunt dependent of his cyst-peritoneal shunt. This association and evolution of this pacient suggest a common and specifical pathogenic mechanism of these two pathologies based in a disturbance of the cerebral fluid circulation.

arachnoid cyst; pseudotumor cerebri; cerebrospinal fluid circulation

Cisto de aracnóide e pseudotumor cerebral: relato de caso

Arachnoid cyst and pseudotumor cerebri: case report

Nilton Domingos Cabral^I; Ricardo Nitrini^II; José Pindaro P. Plese^III

^INeurocirurgião da Disciplina de Neurocirurgia

^IIProfessor Associado da Disciplina de Neurologia

^IIIProfessor Associado da Disciplina de Neurocirurgia

RESUMO

Relato do caso de paciente de 12 anos de idade com cisto de aracnóide na fossa craniana posterior e pseudotumor cerebral dependente de derivação cisto-peritoneal previamente instalada. Esta constatação corrobora assertivas da literatura que sugerem um mecanismo fisiopatológico em comum para estas duas entidades e que estaria relacionado a defeito no fluxo do líquido cefalorraqueano.

Palavras-chave: cisto aracnóideo, pseudotumor cerebral, fluxo do líquido cefalorraqueano.

ABSTRACT

Report on a 12 years old patient with an arachnoid cyst of posterior cranial fossa and pseudotumor cerebri. This patient is a shunt dependent of his cyst-peritoneal shunt. This association and evolution of this pacient suggest a common and specifical pathogenic mechanism of these two pathologies based in a disturbance of the cerebral fluid circulation.

Key words: arachnoid cyst, pseudotumor cerebri, cerebrospinal fluid circulation.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 19-janeiro-1996.

Departamento de Neurologia do Hosipital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP)

Dr. Nilton Dominguos Cabral - Rua Visconde de Porto Seguro 1521 - 04642-000 São Paulo SP - Brasil.

1. Aoki N, Sakai T, Umezawa Y. Slit ventricle syndrome after cyst- peritoneal shunting for the treatment of intracranial arachnoid cyst. Child"s Nerv Syst 1990;6:41-43.
2. Fishman RA. The pathophysiology of pseudotumor cerebri. Arch Neurol, 1984;41:257-258.
3. Johnston I, Hawke S, Halmaygi M, et al. The pseudotumor syndrome: disorders of cerebrospinal fluid circulation causing intracranial hypertension without ventriculomegaly. Arch Neurol 1991;48:740-747.
4. Kaplan BJ, Mickle JP, Parkhurst R. Cystperitoneal shunting for congenital arachnoid cysts. Child"s Brain 1984;11:304-311.
5. Maixner VJ, Besser M, Johnston IH. Pseudotumor syndrome in treated arachnoid cysts. Chils's Nerv Syst 1992;8:207-210.
6. Marinov M, Undijian S, Wetzka P. An evaluation of the surgical treatment of inracranial arachnoid cysts in children. Child's Nerv Syst 1989;5:177-183.
7. Osaka K, Handa H, Matsumoto S et al. Development of cerebrospinal fluid pathway in the normal and abnormal human embryos. Child's Brain 1980;6:26-38.
8. Raffel C, McComb JG. To shunt or to fenestrate: which is the best surgical treatment for arachnoid cysts in pediatric patients? Neurosurgery 1988;23:338-342.

Datas de Publicação

Publicação nesta coleção
17 Dez 2010
Data do Fascículo
Jun 1996

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Aoki N, Sakai T, Umezawa Y. Slit ventricle syndrome after cyst- peritoneal shunting for the treatment of intracranial arachnoid cyst. Child"s Nerv Syst 1990;6:41-43.

[2] 2. Fishman RA. The pathophysiology of pseudotumor cerebri. Arch Neurol, 1984;41:257-258.

[3] 3. Johnston I, Hawke S, Halmaygi M, et al. The pseudotumor syndrome: disorders of cerebrospinal fluid circulation causing intracranial hypertension without ventriculomegaly. Arch Neurol 1991;48:740-747.

[4] 4. Kaplan BJ, Mickle JP, Parkhurst R. Cystperitoneal shunting for congenital arachnoid cysts. Child"s Brain 1984;11:304-311.

[5] 5. Maixner VJ, Besser M, Johnston IH. Pseudotumor syndrome in treated arachnoid cysts. Chils's Nerv Syst 1992;8:207-210.

[6] 6. Marinov M, Undijian S, Wetzka P. An evaluation of the surgical treatment of inracranial arachnoid cysts in children. Child's Nerv Syst 1989;5:177-183.

[7] 7. Osaka K, Handa H, Matsumoto S et al. Development of cerebrospinal fluid pathway in the normal and abnormal human embryos. Child's Brain 1980;6:26-38.

[8] 8. Raffel C, McComb JG. To shunt or to fenestrate: which is the best surgical treatment for arachnoid cysts in pediatric patients? Neurosurgery 1988;23:338-342.