Arachnoid Cyst - Posterior Cranial Fossa - Case 1

A 42 year-old woman requested an MRI scan for her intermittent dizziness.


Show the Regional Anatomy                                                            Outline the Cyst

Arachnoid Cyst of the Posterior Cranial Fossa: (Left) T1-weighted axial MRI; (Right) T2-weighted axial image. Note the large cystic lesion in the posterior fossa. As the cyst contains fluid, it is dark on T1- and bright on T2-weighted images.

Arachnoid cysts are common congenital malformations. They contain fluid but generally do not communicate with the ventricular system. The most common locations are the Sylvian fissure and middle cranial fossa, suprasellar cistern, quadrigeminal cistern, cerebellopontine angle, posterior infratentorial midline, cerebral convexity and interhemispheric fissure.

Most are asymptomatic and found incidentally on brain imaging studies. Rarely, they can enlarge and present as a mass lesion with focal neurological signs, seizures or hydrocephalus.


Revised 11/19/06
Copyrighted 2006. David C Preston