Symptomatic Intracerebral Pediat Symptomatic Intracerebral Pediatric Arachnoids Cyst MRI - Clinical Correlation Firas Mahmood Yaqub* FIBMS, Riyadh Mohammed Kadhim* MRCR, Muna abdulGhani Zghair* FIBM

Abstract

Background: Arachnoids cyst is a frequent finding in pediatric neuroimaging. It represents a cerebrospinal fluid-filled sac, which is located between the brain and arachnoids membrane.

Objective: To identify pediatric age group arachnoids cysts using magnetic resonance imaging, and describe the related main clinical presentation. Methods: A cross-sectional descriptive study employed in a major pediatric care center in Baghdad, (50) patients was found to have intracranial arachnoids cysts during magnetic resonance imaging. These were divided according to age into 1-4 year (26 patients=52%), 5-8 years (10 patients=20%), 9-12 years (8 patients =16%) and 13-16 years (6 patients=12%) and according to gender into male (37 patients=74%) and female (13 patients=26%). The main clinical features were recorded.

Results: Total study sample of 50 patients with intracranial arachnoids cyst, with 27 arachnoids cysts were in middle cranial fossa, 2 in left convexity, 2 in left frontal region, 4 in midline quadrigeminal region, and15 in the posterior fosse. The main clinical presenting feature for those were headache 19 patients, seizures 11 patients, skull deformity 7 patients, developmental delay 6 patients, ataxia/gait disturbances 3 patients and increased intracranial pressure 4 patients.

Conclusions: Magnetic resonance imaging is a useful imaging tool to identify Intracranial Arachnoids cysts, being able to differentiate between different intracranial lesions and the arachnoids cysts had a significant correlation with clinical presenting features.