Sunday, December 20, 2020

Reversible child cognitive impairment and suprasellar arachnoid cyst

François Lechanoine, Antoine Listrat, Julien Francisco Zaldivar‐Jolissaint, Emmanuel De Schlichting. Reversible Child Cognitive Impairment and Suprasellar Arachnoid Cyst. First published: 22 September 2020

A 4‐year‐old girl was addressed to our department with a 1‐year clinical history of clumsiness, gradual cognitive decline, language disorders, and chronic headaches. Her parents reported a dramatic drop in school performance. Clinical evaluation showed no macrocrania and no abnormalities in long tracts, cranial nerves, or cerebellar function. Neuropsychological evaluation revealed alterations of executive functions (nonverbal solving tasks, visuospatial planning, and organization), attention and concentration, short and long‐term memory (visuospatial, story, and word‐list recalls), motor apraxia (skilled movements, imitation, and pantomime of gestures), lower phonemic verbal fluency and speech apraxia (initiation, articulation, and prosody)...

Endocrinological investigations showed preserved pituitary function and ophthalmological examination was normal, without papillary edema. We performed a minimally invasive neuroendoscopic procedure to fenestrate the cyst with the ventricles and basal cisterns...

The patient recovered fully after a few weeks and went back to school with complete resolution of symptoms. Neuropsychological evaluation was normal at 5‐year follow‐up.



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