Arachnoid cyst physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Arachnoid cyst}} | {{Arachnoid cyst}} | ||
{{CMG}} | {{CMG}} {{AE}} {{Jose}} | ||
==Overview== | ==Overview== | ||
Physical examination is generally not very useful as most cases of arachnoid cysts are diagnosed incidentally, but in larger cysts, depending of the affected region, there may be some findings. | [[Physical examination]] is generally not very useful as most cases of arachnoid cysts are diagnosed incidentally, but in larger cysts, depending of the affected region, there may be some findings. | ||
== Physical Examination == | == Physical Examination == | ||
* The majority of the arachnoid cysts are asymptomatic; | * The majority of the arachnoid cysts are [[asymptomatic]]; | ||
* Physical examination findings are more frequent in the large cysts and may be very diverse due to the fact that the symptoms often vary with the location; | * Physical examination findings are more frequent in the large cysts and may be very diverse due to the fact that the symptoms often vary with the location; | ||
* There's a case report from UCLA of a female patient who presented with altered mental status and speech abnormalities<ref>{{Cite web|url=http://www.med.ucla.edu/modules/xfsection/print.php?articleid=711|title=UCLA - Case Discussion|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref> | *Some of the most prevalent physical examination are: | ||
**[[Ataxia]]; | |||
**[[Hearing loss]]; | |||
**Visual changes;<ref>Mustansir, Fatima, Sanaullah Bashir, and Aneela Darbar. "Management of arachnoid cysts: A comprehensive review." ''Cureus'' 10.4 (2018).</ref> | |||
**Protrusions from the head or [[spine]]; | |||
**Head bobbing; | |||
**[[Endocrine system|Endocrine]] issues, e.g. early onset of [[puberty]].<ref>{{Cite web|url=https://www.hopkinsmedicine.org/health/conditions-and-diseases/arachnoid-cysts|title=Johns Hopkins Medicine - Arachnoid Cysts|last=|first=|date=06/23/2020|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref> | |||
* There's a case report from UCLA of a female patient who presented with altered mental status and [[speech abnormalities]].<ref>{{Cite web|url=http://www.med.ucla.edu/modules/xfsection/print.php?articleid=711|title=UCLA - Case Discussion|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref> | |||
*[[Spinal]] [[meningeal]] [[cysts]], a rare form of [[Arachnoid (brain)|arachnoid]] [[cysts]], usually present with progressive [[spastic]] or [[Flaccid paralysis|flaccid]] [[paraparesis]] or [[quadriparesis]] in the second decade of life. 10% may present with [[monoparesis]].<ref>Kumar, Apoorva. "Spinal Arachnoid Cysts." ''Arachnoid Cysts''. Academic Press, 2018. 271-283.</ref> | |||
==References== | ==References== | ||
Latest revision as of 02:09, 30 June 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2]
Overview
Physical examination is generally not very useful as most cases of arachnoid cysts are diagnosed incidentally, but in larger cysts, depending of the affected region, there may be some findings.
Physical Examination
- The majority of the arachnoid cysts are asymptomatic;
- Physical examination findings are more frequent in the large cysts and may be very diverse due to the fact that the symptoms often vary with the location;
- Some of the most prevalent physical examination are:
- There's a case report from UCLA of a female patient who presented with altered mental status and speech abnormalities.[3]
- Spinal meningeal cysts, a rare form of arachnoid cysts, usually present with progressive spastic or flaccid paraparesis or quadriparesis in the second decade of life. 10% may present with monoparesis.[4]
References
- ↑ Mustansir, Fatima, Sanaullah Bashir, and Aneela Darbar. "Management of arachnoid cysts: A comprehensive review." Cureus 10.4 (2018).
- ↑ "Johns Hopkins Medicine - Arachnoid Cysts". 06/23/2020. Check date values in:
|date=(help) - ↑ "UCLA - Case Discussion".
- ↑ Kumar, Apoorva. "Spinal Arachnoid Cysts." Arachnoid Cysts. Academic Press, 2018. 271-283.