caa a22 4500 463179064 CHVBK 20180406164833.0 cr unu---uuuuu 170326e20070101xx s 000 0 eng 10.1007/s00381-006-0161-0 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0161-0 Spontaneous disappearance of a suprasellar arachnoid cyst: case report and review of the literature [Elektronische Daten] [Kyung-Sub Moon, Jung-Kil Lee, Jae-Hyoo Kim, Soo-Han Kim] Introduction: Suprasellar arachnoid cysts are uncommon developmental anomalies that are most often diagnosed in childhood. Because the natural history and pathogenesis of these remain poorly defined, optimal treatment guidelines are not yet established. Case report: We report a case of spontaneous disappearance of a suprasellar arachnoid cyst that persisted after a ventriculoperitoneal shunt performed 10years earlier. A 5-year-old boy presented with impaired visual acuity and urinary incontinence. Magnetic resonance (MR) imaging showed a large suprasellar cyst with noncommunicating hydrocephalus. A ventriculoperitoneal shunt was put in place to alleviate current aggravation of hydrocephalus symptoms. Because of the persistent size of the cyst and signs of brainstem compression on a repeat computed tomography (CT), we recommended surgical exploration and decompression. However, the boy's parents declined any further surgical treatment, and the patient was subsequently lost to follow-up for 10years. When the patient returned to our clinic at the age of 15years, a repeat MR scan showed a complete disappearance of the cyst. His family denied any significant interval history. Discussion: This case represents only the third reported case of spontaneous disappearance of a suprasellar arachnoid cyst. We discuss possible mechanisms and clinical characteristics of the disappearance of the arachnoid cyst with review of the literature. Springer-Verlag, 2006 Arachnoid cyst nationallicence Prepontine nationallicence Spontaneous disappearance nationallicence Suprasellar nationallicence Moon Kyung-Sub Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, 501-757, Gwangju, South Korea aut Lee Jung-Kil Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, 501-757, Gwangju, South Korea aut Kim Jae-Hyoo Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, 501-757, Gwangju, South Korea aut Kim Soo-Han Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, 501-757, Gwangju, South Korea aut Child's Nervous System Springer-Verlag 23/1(2007-01-01), 99-104 0256-7040 23:1<99 2007 23 381 https://doi.org/10.1007/s00381-006-0161-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0161-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Moon Kyung-Sub Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, 501-757, Gwangju, South Korea aut NATIONALLICENCE 700 1- Lee Jung-Kil Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, 501-757, Gwangju, South Korea aut NATIONALLICENCE 700 1- Kim Jae-Hyoo Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, 501-757, Gwangju, South Korea aut NATIONALLICENCE 700 1- Kim Soo-Han Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, 501-757, Gwangju, South Korea aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/1(2007-01-01), 99-104 0256-7040 23:1<99 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer