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İntrakraniyal araknoid kistler iyi huylu, araknoid membranla çevrili serebrospinal sıvı benzeri steril sekresyonlar içeren genetik olmayan kavitelerdir. Çocuklarda araknoid kist sıklığı tam olarak bilinmemektedir. Bu çalışmada nöroradyolojik incelemelerde araknoid kist saptanan çocuk olguların klinik özelliklerinin değerlendirmesi amaçlanmaktadır. Çalışmada, yaşları 1 ay-18 yaş değişen 5360 hastaya 2010-2017 tarihleri arasında çekilen beyin nörogörüntülemeleri retrospektif olarak incelendi. Bu hastaların 309’unun incelemesinde araknoid kist saptandı. Araknoid kist sıklığı %5,8 olarak saptandı. Erkek/kız oranı 2:1, ortalama yaş 9,3 ± 5,0 yıl hesaplandı. En sık nörogörüntüleme endikasyonu baş ağrısıydı. Araknoid kistler en sık posterior fossada bulunmaktaydı. Fizik muayenesinde pozitif bulgu saptanan olgularda, baş ağrısı yakınması olanlarda, cerrahi uygulananlarda kist boyut ortancalarının daha büyük olduğu belirlendi (p<0,05). Çalışmamız çocuk hastalarda araknoid kistlerin sık bir nörogörüntüleme bulgusu olduğunu, olguların büyük çoğunluğunda tedavi gerekmediği belirlenmiştir. Bu bugular gereksiz tetkik ve tedavilerin önlenmesi açısından önemlidir.
Intercranial araknoid cysts are genetic non-genetic cavities containing sterile secretions similar to cerebrospinal fluid surrounded by an araknoid membrane. The accurate frequency of araknoid cysts in children is unknown. This study is aimed at assessing the clinical characteristics of children's events that are identified by araknoid cysts in neuroradiological studies. In the study, 5360 patients between the ages of 1 month and 18 years of age were retrospective of brain neurotransmitters taken between 2010 and 2017. In the study of 309 of these patients, araknoid cyst was detected. The araknoid cyst frequency was 5.8%. The male/girl ratio was 2:1, the average age of 9.3 ± 5.0 years was calculated. The most common indication of neurodegeneration was headache. Araknoid cysts were found in the posterior fossil. In the physical examination positive findings were found, in those with close headaches, in surgeons, cyst-size medians were greater (p<0,05). Our study has found that araknoid cysts in children are a frequent symptom of neurodegeneration, and that in the vast majority of the cases there is no need for treatment. These bugs are important for unnecessary examination and prevention of treatments.
Intracranial arachnoid cysts are non-genetic cavities containing benign, sterile secretions of cerebrospinal fluid surrounded by an arachnoid membrane. The prevalence of arachnoid cysts is unknown in children. The aim of this study is to evaluate the clinical features of children with arachnoid cysts. We retrospectively reviewed the neuroimaging of 5360 patients aged between 1 months and 18 years, retrospectively. 309 of these patients had arachnoid cyst. The incidence of arachnoid cyst was 5.8%. The male/female ratio was 2: 1, and the mean age was 9.3 ± 5.0 years. The headache was the most common indication for neuroimaging. Arachnoid cysts were most commonly found in the posterior fossa. Cyst size median was found to be larger in patients who had headache complaints and those who had surgery on positive physical examination (p <0.05). In our study, it was determined that arachnoid cysts were a frequent neuroimaging finding in pediatric patients and treatment was not required in the majority of cases. These results, it is important to prevent unnecessary investigations and treatments.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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