Skip to main content
NCBI home page
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1978 Jan;41(1):88–94. doi: 10.1136/jnnp.41.1.88

Calcified congenital arachnoid cyst with heterotopic neuroglia in wall.

S Shuangshoti
PMCID: PMC492967  PMID: 621536

Abstract

Two unique findings, advanced calcification and ectopic neuroglia, were encountered in the wall of a giant congenital arachnoid cyst occurring in a 40 year old woman. The cyst almost totally filled the supratentorial subdural space of the left hemicranial cavity, was not connected with the subarachnoid space, and thus developed intra-arachnoidally. Its congenitally derived nature was supported by the unique finding of heterotopic neuroglia in the wall. Congenital arachnoid cyst must be distinguished from various cystic lesions within the central nervous system, including the neuroepithelial cyst which can arise throughout the neuraxis. It is suggested that pathogenesis of the congenital arachnoid cyst is related to aberrant flow of the ventricular cerebrospinal fluid into the developing leptomeninx in the process of differentiation of the subarachnoid space. The tract or pouch may occur within the arachnoid mater, and the cyst is formed intra-arachnoidally when the former filled with fluid is closed off from the subarachnoid space.

Full text

PDF
88

Images in this article

89Image
on p.89
90Image
on p.90
91Image
on p.91

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aicardi J., Bauman F. Supratentorial extracerebral cysts in infants and children. J Neurol Neurosurg Psychiatry. 1975 Jan;38(1):57–68. doi: 10.1136/jnnp.38.1.57. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BERING E. A., Jr Circulation of the cerebrospinal fluid. Demonstration of the choroid plexuses as the generator of the force for flow of fluid and ventricular enlargement. J Neurosurg. 1962 May;19:405–413. doi: 10.3171/jns.1962.19.5.0405. [DOI] [PubMed] [Google Scholar]
  3. COOPER I. S., KERNOHAN J. W. Heterotopic glial nests in the subarachnoid space; histopathologic characteristics, mode of origin and relation to meningeal gliomas. J Neuropathol Exp Neurol. 1951 Jan;10(1):16–29. doi: 10.1097/00005072-195110010-00002. [DOI] [PubMed] [Google Scholar]
  4. Friede R. L., Yasargil M. G. Supratentorial intracerebral epithelial (ependymal) cysts: review, case reports, and fine structure. J Neurol Neurosurg Psychiatry. 1977 Feb;40(2):127–137. doi: 10.1136/jnnp.40.2.127. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Ghatak N. R., Mushrush G. J. Supratentorial intra-arachnoid cyst. Case report. J Neurosurg. 1971 Oct;35(4):477–482. doi: 10.3171/jns.1971.35.4.0477. [DOI] [PubMed] [Google Scholar]
  6. HOFFMANN G. T. Cervical arachnoidal cyst. Report of a 6-year-old Negro male with recovery from quadriplegia. J Neurosurg. 1960 Mar;17:327–330. doi: 10.3171/jns.1960.17.2.0327. [DOI] [PubMed] [Google Scholar]
  7. LEWIS A. J. Infantile hydrocephalus caused by arachnoid cyst. Case report. J Neurosurg. 1962 May;19:431–434. doi: 10.3171/jns.1962.19.5.0431. [DOI] [PubMed] [Google Scholar]
  8. LIST C. F., WILLIAMS J. R. Subdural epithelial cyst in the interhemispheral fissure. Report of a case, with some remaks concerning the classification of intracranial and thelial cysts. J Neurosurg. 1961 Sep;18:690–693. doi: 10.3171/jns.1961.18.5.0690. [DOI] [PubMed] [Google Scholar]
  9. Moore M. T., Book M. H. Congenital cervical ependymal cyst. Report of a case with symptoms precipitated by injury. J Neurosurg. 1966 Feb;24(2):558–561. doi: 10.3171/jns.1966.24.2.0558. [DOI] [PubMed] [Google Scholar]
  10. OLIVER L. C. Primary arachnoid cysts; report of two cases. Br Med J. 1958 May 17;1(5080):1147–1149. doi: 10.1136/bmj.1.5080.1147. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. POPOFF N., FEIGIN I. HETEROTOPIC CENTRAL NERVOUS TISSUE IN SUBARACHNOID SPACE. Arch Pathol. 1964 Nov;78:533–539. [PubMed] [Google Scholar]
  12. SCHREIBER M. S. Primary congenital arachnoid cysts. Med J Aust. 1959 Nov 28;46(2):802–803. doi: 10.5694/j.1326-5377.1959.tb129548.x. [DOI] [PubMed] [Google Scholar]
  13. STARKMAN S. P., BROWN T. C., LINELL E. A. Cerebral arachnoid cysts. J Neuropathol Exp Neurol. 1958 Jul;17(3):484–500. doi: 10.1097/00005072-195807000-00009. [DOI] [PubMed] [Google Scholar]
  14. Shuangshoti S., Netsky M. G. Histogenesis of choroid plexus in man. Am J Anat. 1966 Jan;118(1):283–316. doi: 10.1002/aja.1001180114. [DOI] [PubMed] [Google Scholar]
  15. Shuangshoti S., Netsky M. G. Human choroid plexus: morphologic and histochemical alterations with age. Am J Anat. 1970 May;128(1):73–95. doi: 10.1002/aja.1001280107. [DOI] [PubMed] [Google Scholar]
  16. Shuangshoti S., Panyathanya R. Neural neoplasms in Thailand: a study of 2,897 cases. Neurology. 1974 Dec;24(12):1127–1134. doi: 10.1212/wnl.24.12.1127. [DOI] [PubMed] [Google Scholar]
  17. Shuangshoti S., Phisitbutr M., Kasantikul V., Netsky M. G. Multiple neuroepithelial (colloid) cysts: association with other congenital anomalies. Neurology. 1977 Jun;27(6):561–566. doi: 10.1212/wnl.27.6.561. [DOI] [PubMed] [Google Scholar]
  18. Shuangshoti S., Phonprasert C., Suwanwela N., Netsky M. G. Combined neuroepithelial (colloid) cyst and xanthogranuloma (xanthoma) in the third ventricle. Neurology. 1975 Jun;25(6):547–552. doi: 10.1212/wnl.25.6.547. [DOI] [PubMed] [Google Scholar]
  19. TAVERAS J. M., RANSOHOFF J. Leptomeningeal cysts of the brain following trauma with erosion of the skull; a study of seven cases treated by surgery. J Neurosurg. 1953 May;10(3):233–241. doi: 10.3171/jns.1953.10.3.0233. [DOI] [PubMed] [Google Scholar]
  20. WATSON J. M., NETSKY M. G. Ulceration and malacia of the upper alimentary tract in neurologic disorders. AMA Arch Neurol Psychiatry. 1954 Oct;72(4):426–439. doi: 10.1001/archneurpsyc.1954.02330040028002. [DOI] [PubMed] [Google Scholar]
  21. WORTHINGTON W. C., Jr, CATHCART R. S., 3rd Ependymal cilia: distribution and activity in the adult human brain. Science. 1963 Jan 18;139(3551):221–222. doi: 10.1126/science.139.3551.221. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES