Sunday 12 August 2007

CPA arachnoid cyst

Do not communicate with cisterns or ventricles
10% of arachnoid cyst occur in CPA
Most commonly incidental finding
75% occur in children

Clinical features:
Silent
Headache, dizziness, SNHL, trigeminal neuralgia, hemifacial spasm

MR:
Similar to CSF on all sequences, suppressed on FLAIR
No diffusion restriction (low signal)
Displaces the cisterns and vessels, do not encase (c.f. epidermoid)
No enhancement