Arachnoid Cyst - Treatment/Management

Treatment/Management

Most arachnoid cysts are asymptomatic and do not require treatment. Treatment may be necessary when symptomatic. A variety of procedures may be used to decompress (remove pressure from) the cyst.

  • Surgical placement of a cerebral shunt:
    • An internal shunt drains into the subdural compartment.
    • A cystoperitoneal shunt drains to the peritoneal cavity.
  • Fenestration:
    • Craniotomy with excision
    • Various endoscopic techniques are proving effective, including laser-assisted techniques.
  • Drainage by needle aspiration or burr hole.
  • Capsular resection
  • Pharmacological treatments may address specific symptoms such as seizures or pain.

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