Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(04): 329-333
DOI: 10.1055/s-0036-1586760
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Glial Cyst inside the Cerebellar Parenchyma: Case Report and Literature Review

Cisto glial no parênquima cerebelar: relato de caso e revisão da literatura
Guilherme Finger
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil
,
Eduardo Cambruzzi
2   Department of Pathology, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil
,
Tobias Ludwig do Nascimento
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil
,
Luiz Pedro Willimann Rogerio
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil
,
Marcelo Martins dos Reis
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil
,
Leandro Pelegrini de Almeida
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil
,
Gabriel Greggianin Frizzon
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil
,
Pasquale Gallo
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil
› Author Affiliations
Further Information

Publication History

13 April 2016

11 July 2016

Publication Date:
12 August 2016 (online)

Abstract

Cystic lesions inside the brain parenchyma are a common pathological finding in the investigation of patients with suspicion of cerebral tumor. Histological diagnosis is important to guide the patient's treatment and follow-up, and to determine prognosis. Among patients diagnosed with cerebral cysts, most are located in the parenchyma above the tentorium. The authors describe the case of a patient who had been suffering from dizziness and balance disturbance for 4 months; the investigation identified a cyst inside the cerebellar right hemisphere. A surgical procedure was performed, and the biopsy microscopic analysis diagnosis was glial cyst.

Resumo

Patologias intraparenquimatosas de características císticas são comumente identificadas em pacientes que estão sob investigação de neoplasias cranianas. Lesões císticas são mais prevalentes acima da tenda cerebelar, e o diagnóstico histológico é fundamental para determinar o tratamento, seguimento e prognóstico do paciente. Os autores relatam o caso de um paciente com sintomas de vertigem e alteração no equilíbrio dinämico de 4 meses de evolução, cuja investigação diagnosticou cisto intraparenquimatoso no hemisfério cerebelar direito. Procedeu-se com intervenção cirúrgica cujo diagnóstico histopatológico foi compatível com Cisto Glial

 
  • References

  • 1 Frazier J, Garonzik I, Tihan T, Olivi A. Recurrent glioependymal cyst of the posterior fossa: an unusual entity containing mixed glial elements. Case report. J Neurooncol 2004; 68 (1) 13-17
  • 2 Oprişan A, Popescu BO. Intracranial cysts: an imagery diagnostic challenge. Scientific World Journal 2013; 2013: 172154
  • 3 Weisberg LA. Non-neoplastic gliotic cerebellar cysts: clinical and computed tomographic correlations. Neuroradiology 1982; 24 (1) 53-57
  • 4 Sundaram C, Paul TR, Raju BV , et al. Cysts of the central nervous system : a clinicopathologic study of 145 cases. Neurol India 2001; 49 (3) 237-242
  • 5 Lustgarten L, Papanastassiou V, McDonald B, Kerr RS. Benign intracerebral cysts with ependymal lining: pathological and radiological features. Br J Neurosurg 1997; 11 (5) 393-397
  • 6 Vaquero J, Cabezudo JM, Areitio E. Glial cysts of the cerebellum. Surg Neurol 1981; 16 (4) 288-289
  • 7 Szigethy A. Beitrage zur Genese der Kleinhirncystern. Arch Psychiatr. 1928; 84: 715-725
  • 8 Wilkins RH, Burger PC. Benign intraparenchymal brain cysts without an epithelial lining. J Neurosurg 1988; 68 (3) 378-382
  • 9 Silverberg GD. Simple cysts of the cerebellum. J Neurosurg 1971; 35 (3) 320-327
  • 10 Klein P, Rubinstein LJ. Benign symptomatic glial cysts of the pineal gland: a report of seven cases and review of the literature. J Neurol Neurosurg Psychiatry 1989; 52 (8) 991-995
  • 11 Taraszewska A, Matyja E, Koszewski W, Zaczyński A, Bardadin K, Czernicki Z. Asymptomatic and symptomatic glial cysts of the pineal gland. Folia Neuropathol 2008; 46 (3) 186-195
  • 12 Sundbärg G, Brun A, Efsing HO, Lundberg N. Non-neoplastic expanding lesions of the vermis cerebelli. J Neurosurg 1972; 37 (1) 55-64