They discovered a large cyst in the brain. Brain cyst: what is it and how to treat it

The formation of a cyst in brain tissue is far from a rare phenomenon, which carries with it serious threat human life and health. will be effective to the extent that the disease is identified in a timely manner and therapeutic measures are taken.

A cyst is a formation in the form of a bubble containing fluid. A cyst can form in any area of ​​the head. Despite the benign nature of the tumor, diagnosis cannot be delayed, because the tumor can become malignant.

What types of brain cysts are there?

Cyst classification is divided into the following categories, and the size of the cyst may depend on them:

  • Congenital. Diagnosed in infants immediately after birth.
  • Secondary. Occurs as a result of an operation.

Dimensions and characteristics

How intensively the disease progresses and what size the tumor reaches depends on the symptoms shown. But this factor is not the only one. Symptoms appear in varying degrees, depending on the location of the cyst and the reason why it formed.

The size of the cyst and the symptoms that appear are explained by the fact that an increase in the tumor entails an increase in fluid pressure in it. The size of the cyst depends on:

  • presence of infection;
  • autoimmune diseases developing in the body;
  • pathologies cardiovascular system chronic form.

Children experience such diseases somewhat differently.

Adults, in turn, suffer from:

  • severe headaches;
  • hearing loss;
  • reduction visual function;
  • strong pulsation in the temporal region;
  • the appearance of cramps and numbness of the limbs;
  • coordination disorders;
  • ailments and weakness;
  • gagging.

Symptoms can be expressed to varying degrees, which is influenced by the size of the brain cyst. According to MRI results, if the size of the cyst exceeds 10 millimeters in diameter, blockage and disruption of the outflow of cerebrospinal fluid occurs, so surgical intervention is necessary.

The development of a cystic formation in a baby is accompanied by identical health disorders as in an adult. The difference is that the child suffers from mental retardation and physical development. This phenomenon is explained by the divergence of the bone suture and increased pressure in the skull.

Cyst in an adult

Often, such a neoplasm is localized in a part of the cobweb-like mesh that envelops the cortex of the cerebral hemisphere. It is the cerebral hemispheres that are more vulnerable to inflammation or damage.

Brain cyst for a long time has the ability not to manifest itself and is accompanied only by severe pain, the intensity of which depends on its size and location. The cyst may not progress in size and not bother the person in any way, which gives him the opportunity to live with it constantly and not know about such a formation.

No need to take action surgical intervention so as not to provoke its growth. It is better to undergo high-quality and regular diagnostics, to record the moment in case of the beginning of its growth.

Brain cyst in a child

In a child’s brain, one formation is often detected, less often there are two or more. In general, they do not require therapeutic measures. A brain cyst forms in a child for the following reasons:

  1. Congenital disorders of the central nervous system. The most common phenomenon among children, which begins its development as a result of exposure to a virus, taking medications, due to oxygen starvation, gene mutation;
  2. Consequences birth trauma . There was compression of the head, which led to disruption of the adaptation mechanism, disruption of the membranes, bone tissue, intracranial contents;
  3. Poor circulation. Provokes death nerve cells tissues that form a cystic cavity in this area;
  4. Inflammation in the cerebral cortex. Affected by encephalitis and meningitis.

All specified processes provoke pathological disorders in the brain tissues of the child, leading to their death, which serves as the beginning of the formation of a cyst filled with fluid. This process affects nearby healthy tissue, and the patient begins to suffer from symptoms.

Symptoms in a child

The location of the pathology in a specific area of ​​the brain affects those areas whose work is regulated by this department.

The most common symptoms that cannot be ignored are the following.

Reason for appearance

Headaches

Indicate the presence of pressure on the parts of the brain where the nerve endings are located

Increased head size

Expansion of the skull as a result of progressive pathology

Extraneous noises in the ears

High intracranial pressure caused by a cyst

Gait and limb coordination problems

The cyst is located in the cerebellum

Decreased visual function

Caused by compression of the optic nerve, therefore, the location is the cerebellum

Premature puberty

Compression of the pituitary gland

Inhibition of child growth and development

The pituitary gland is malfunctioning

Manifestation epileptic seizures

The formation was localized in the arachnoid part of the brain

In addition, children are characterized by restless behavior, lack of normal sleep, or, on the contrary, increased sleepiness and lethargy. Parents of infants can understand the presence of any abnormalities by frequent and profuse regurgitation.

Treatment measures

Basically, cystic formations in the head are successfully diagnosed and predicted as treatable diseases. Diagnosed pathology can be treated in two ways:

  1. Observe. The attending physician may choose this method if the size of the cyst is small, there are no accompanying symptoms, and it does not increase in size. Babies under one year of age are regularly diagnosed; after that, diagnostics are carried out every year;
  2. Surgical treatment. If the tumor increases in size. It is possible to use a palliative method, which involves pumping out fluid from the cyst. The most drastic is considered to be the opening of the skull with removal of the cystic bladder.

Treatment should be started immediately after diagnosis. First of all, the cause that started the development of the cyst must be established and eliminated.

If necessary, the doctor may prescribe anticoagulant therapy to lower blood cholesterol levels and bring the levels back to normal. blood pressure. Methods of anti-inflammatory autoimmune therapy and immunomodulators in the presence of autoimmune diseases are also used.

In cases where conservative therapy does not bring the expected result, they resort to endoscopic surgical treatment.

A brain cyst is a benign extensive education in the brain, which is a spherical cavity filled with fluid.

Causes

Among the reasons that lead to their development, the most common are:

  1. abnormalities of intrauterine development;
  2. traumatic injuries fabrics;
  3. cerebrovascular accidents with the development of areas of ischemia and necrosis;
  4. hemorrhages;
  5. inflammatory diseases;
  6. degenerative and dystrophic changes in the brain.

Classification

Depending on the location, there are:

  • arachnoid cyst- a cavity that is located between meninges;
  • intracerebral cyst, located deep in the brain tissue.

By origin they are divided into:

  • congenital, which are a consequence of intrauterine development disorders, or occur after the death of brain tissue during intrapartum asphyxia (see the link for more information about brain cysts in newborns);
  • purchased developing after injuries, bleeding, inflammatory processes.

Also, the division into types is carried out on the basis of the tissues from which they are formed. The most common types are the following:

  • arachnoid;
  • colloidal;
  • dermoid;
  • epidermoid;
  • pineal

Colloid, epidermoid, dermoid and pineal cysts belong to the intracerebral type of formations.

Arachnoid cyst- This is a spherical formation that contains cerebrospinal fluid. This type occurs more often in men than in women. If there is no growth, surgery is not performed; patients are only observed by a doctor. If signs of an enlarged cavity appear, surgical treatment is recommended.

Colloidal cyst develops during the formation of the central nervous system. Most often, it is asymptomatic until its size reaches critical values, which leads to a block in the outflow of fluid through the brain and the development of hydrocephalus. Treatment in this case is urgent surgery.

Dermoid cyst or dermoid– is a developmental anomaly when the germ cells from which facial tissues should develop do not move and remain between the brain and spinal cord. Treatment is surgical.

Epidermoid cyst and, as it is also called, the epidermoid is formed in the brain from embryonic cells, from which the tissues of skin, hair, and nails then develop. This type is also treated with surgical methods.

Pineal cyst is a pineal cyst that occurs in 1-4% of people. It manifests itself as a headache, which intensifies when you raise your eyes upward. More often than not, everything is asymptomatic and does not cause any discomfort in the patient.

Symptoms

With small cysts, the disease is characterized by an asymptomatic course and is discovered accidentally during routine examinations.

If the cavity reaches a significant size, then a characteristic clinical picture, which is caused by localization, tissue compression, and impaired outflow of cerebral fluid.

Main symptoms:

Diagnostics

The main diagnostic methods include MRI and CT, which help determine the exact location, size, and shape of the cystic formation.

These studies help to conduct differential diagnosis between the cyst and the tumor. At intravenous administration contrast agent, tumor tissues accumulate this substance, and the cyst remains inert with respect to contrast.

Using Doppler ultrasound ultrasound scanning) vessels, you can assess the state of the blood supply to the brain tissue, identify areas of ischemia, in the place of which cysts develop.

From additional methods ECG, Echo-CG are used, with the help of which it is possible to determine signs of heart failure, rhythm disturbances, which leads to poor blood supply brain, development of ischemic zones with subsequent replacement of cystic cavities.

Blood pressure monitoring makes it possible to identify a risk group for the development of strokes who may have developed post-stroke cysts.

Blood tests help in establishing the cause of the development of cysts, by determining markers of inflammation, autoimmune processes, assessing the degree of blood clotting, cholesterol levels, infections, autoimmune diseases, atherosclerosis cerebral vessels are the factors leading to their formation.

Treatment

If the disease is asymptomatic and there are no signs of cyst growth, treatment is not required, but prescribed dynamic observation from a neurologist and drug treatment disease that led to the formation of a cyst. For example, the prescription of antibacterial, antiviral agents, immunomodulators, drugs that resolve adhesions and restore blood supply.

If there are signs of enlargement of the cystic cavity, with pronounced symptoms, they resort to surgical methods treatments that can be divided into 3 groups.

  1. Radical operations, for example, craniotomy with subsequent removal of the cyst and its walls. They are characterized by good efficiency, but increased trauma.
  2. Bypassing the cyst cavity using a drainage tube; after evacuation of the contents, the walls of the cavity collapse. The disadvantage of the method is increased risk infection.
  3. Endoscopic methods, when punctures are used to remove the contents of the cyst. This is the least traumatic method, but it cannot be used for all types of formations.

Forecast

At early detection, small kitties have a favorable prognosis. In cases where the cavity rapidly increases, when compression of brain tissue occurs and the outflow of cerebrospinal fluid is disrupted, severe complications can occur that significantly worsen the prognosis.

What is a cyst anyway? And why is there so much talk about her? This neoplasm can suddenly appear in any organ or tissue. Usually there is nothing wrong with this, since it is not cancer, but just a capsule. But a cyst found in the brain is a serious diagnosis. After all, the brain cavity is limited; there is only enough space in the skull for the necessary structures - brain cells, arachnoid membrane and cerebrospinal fluid.

A cyst differs from cancer in that it appears as a result of abnormal physiological processes or problems with hormones. But cancer is a more serious formation that grows uncontrollably and according to completely different principles.

Brain cyst. Dimensions. Risks

According to medical dictionary- a cyst is a benign formation, a cavity filled with fluid. And there are pseudocysts - they are distinguished by the absence of their own membrane and stem.

The formation is usually not detected for a long time until it grows so large that it presses on the adjacent areas of the brain. While the cyst is small, a person does not feel it.

The sizes of the cyst are different. It can be only a few millimeters in diameter, or it can grow to several centimeters. Small bags of fluid are observed by a specialist. Surgeons do not touch them, since brain surgery is too dangerous. To touch such a finely organized substance as the brain means to endanger the life and health of the patient excessive risk. Therefore, doctors do not take such responsibility.

Causes of cyst formation

The cause of the appearance of a brain cyst must be identified by a doctor after a detailed interview with the patient to compile a medical history, and after receiving examination data.

In most cases, a cyst forms in the following cases:

  • receiving a brain injury;
  • infectious disease;
  • transferred hemorrhagic stroke;
  • violations of liquor circulation;
  • high blood pressure;
  • in children, the cause may be those infections that the woman had during pregnancy. Such infections include herpes, toxoplasmosis and rubella.

This bubble in the brain does not appear out of nowhere. Great value has liquor circulation. That is, the constant renewal of a special intracranial fluid. If there are abnormal processes in the brain, and the pressure of the cerebrospinal fluid begins to exceed normal cranial pressure, then the fluid has nowhere else to go in the brain. And it forms a cyst.

Another cause of brain cysts, which has been little studied, but also occurs, is autoimmune processes. That is, aggression of leukocytes against the body’s own cells.

MRI of the brain gives a very accurate picture. Any vascular formations, arachnoid cysts of the brain over 3 millimeters in size - the doctor will immediately see all these anomalies. But the reason may remain unknown, especially if a person turned to the doctor only when he was already exhausted by headaches and various attacks that lasted several years.

Brain cyst. Symptoms

Like any disease, cystic formations are identified by a number of symptoms, which the doctor compares with test data. A person himself can analyze his condition and suspect a problem based on a number of signs. But the diagnosis is still made exclusively by a neurologist.

Symptoms that indicate the presence of a cyst include:

  • frequent severe cephalgia (headaches);
  • periodic limb spasms;
  • noise in the head;
  • sleep disorders;
  • vomit;
  • problems with coordination;
  • Temporary visual dysfunction is also possible.

When the bubble with liquid grows, a person begins to have serious attacks of epilepsy; in the morning the patient often finds traces of blood from the nose. Sometimes there are hallucinations and thinking disorders. From headaches and exhaustion, a person simply loses consciousness.

In such cases, you should immediately contact the MRI diagnostic center and go to the doctor with the scan data.

Consequences and health risks

As we said, small cysts do not lead to any adverse outcomes. But those formations that grow uncontrollably due to abnormalities in the brain soon appear and pose a threat.

What harm does a brain cyst cause? The consequences for such patients are quite difficult to predict. In many cases this is hydrocephalus, compression of the brain, paresis, and circulatory disorders. There are often problems with sleep and mental health. If this is a child who is just developing, he will have some difficulties, and possibly developmental defects.

Types of cysts

There are 2 main types of education. The first type is a cyst in deep layers brain, directly in the gray matter or at the ventricles - retrocerebellar. The second type is arachnoid, which is located above the gray matter in the area of ​​the arachnoid membrane. Because arachnoid does not affect vital parts of the brain, it is not so dangerous.

Another neoplasm is known - the brain. They are more typical for newly born children. But they are not dangerous.

Porencephalic cyst - formed as a result of atherosclerotic changes and appears already at the age of 55-65 years. The clinic also separates acquired and congenital cysts. The size of brain cysts in children and adolescents is determined using MRI.

Arachnoid cyst

Arachnoid cysts of the brain occur for unknown reasons in men more often than in women. Her capsule always contains cerebrospinal fluid. Cerebral arachnoid cyst leads to various disorders the functioning of our main controller - the brain.

Basically, education reaches someone who has had one of the following infections affecting the central nervous system:

  • meningitis;
  • cytomegalovirus;
  • arachnoiditis;
  • chickenpox with complications.

There may be problems with vision or hearing. A person suddenly experiences nervous disorders, haunted by fears. The patient is bothered by numbness or cramps of the limbs.

There are several types of such cysts:

  • convexital cyst;
  • basilar;
  • cyst of the posterior cranial fossa.

According to statistics, the last named cyst is the most common. Its constant symptoms include neuralgia or paralysis facial nerve, And severe pain in the back of the head. Sometimes the patient may see hallucinations. And this should alert you.

A spinal arachnoid cyst is one that is localized in spinal cord. And there is such a subtype as optochiasmal arachnoid cyst. With it, the visual area gradually narrows and the person eventually completely loses vision.

Cyst in newborns

Education is possible already at the stage of intrauterine development due to various pathogenic factors that attack the mother’s body. It is important to get tested on time in order to know about the problem in advance. Sometimes such formations resolve on their own in the fetus. This should happen by 20-30 weeks. It happens that the formation goes away on its own a few months after birth. But it is important to keep the child under supervision all this time. In general, many children are born with a cyst, but this should not cause the mother to panic.

A brain cyst in a child often has favorable prognosis. If the cyst is dermoid, that is, congenital, and is located in the deep layers of the brain (near the ventricles, in the body of the epiphysis or pituitary gland), and the child suffers from many attacks, then surgery is inevitable.

To diagnose such a formation in an infant, a routine ultrasound is performed. It is absolutely painless and effective. But during an MRI you need to lie still, which is difficult to achieve from a baby.

A child can be treated only with medications that are prescribed by a doctor. Amateur activities and the use of all kinds of traditional methods.

Retrocerebellar formation. Peculiarities

Important has the location and size of a retrocerebellar cyst of the brain. It is also necessary to start treatment as early as possible. In addition to the inflammatory process due to infection, the cause of this cyst can be a stroke or a surgical operation performed on the brain, which subsequently caused complications. Such cavities, if they rapidly develop and fill with fluid, need to be shunted. However, when the cysts are located very close to the ventricles of the brain themselves, they are still not touched.

Retrocerebellar cysts of the brain are quite rare. Due to the fact that pathological processes continue to develop and brain cells die, headaches in humans are very severe.

Such a patient is forbidden to be nervous, to go outside in extreme heat and walk for a long time. Doctors also do not allow you to sit for a long time near electronic gadgets or in front of the TV. You can't strain yourself, and general life the patient becomes unbearable. But the risk of mortality with a growing retrocerebellar deep cyst is high, so these restrictions are completely justified.

In such cases, the only method of dealing with the problem is to remove the brain cyst.

It is better to immediately consult a doctor if you experience a headache that neither analgesics nor rest can relieve and find out the causes of such symptoms.

Cysts of other parts of the brain

There are many parts of the brain, and a cyst can form in any of them. Based on the symptoms, an experienced doctor often predicts where exactly it is located. For example, a cerebellar cyst makes itself felt by impaired coordination of movements. It becomes difficult for a person to walk due to the fact that he often loses his sense of balance. This is usually not harmful to health. But headaches and balance problems clearly bother the patient.

Drowsiness and decreased visual acuity are inherent in a cyst of the epiphysis - the gland that is responsible for the production of the sleep hormone. It is formed when, when the passage of the gland is blocked, the produced hormone melatonin cannot be released. Then a sac appears filled with this hormone, which gradually grows.

A cyst of the pineal gland of the brain or pineal gland is very rare. And while it is small in size, the patient will not feel any manifestations for years. But having reached large sizes, the cyst interferes with the functioning of the gland and disrupts the functioning of the brain due to the same increased cranial pressure. Of course, a lack of melatonin will lead to mood swings, depression or some other mental disorders.

Based on these signs, one can suspect that the cause of the condition is in the area of ​​the pineal gland. This means that there is either a tumor or a cyst of the pineal gland of the brain.

The cyst is considered separately choroid plexuses in medicine. This species occurs mainly in newborns. A child acquires a formation in the brain either during childbirth, when assistance to the woman in labor is provided unqualified, or due to infections.

As you can see, brain cysts are very diverse. Symptoms usually indicate to the doctor its exact location.

Can a cyst degenerate into a malignant formation?

Cysts are usually not dangerous. That's why in medicine they are called benign formations. As we found out, they arise for a number of reasons. Most often, this is an infection that affects the brain tissue.

Encephalitis and arachnoiditis are now well treated with injections and medications. Having learned about the disease, you need to immediately go to the clinic. As long as the inflammation continues and the patient does not take any steps for diagnosis and treatment, the formation will gradually grow.

But it cannot turn into cancer. Only in exceptional cases When the brain tissue is already too damaged by concomitant disorders and it is impossible to stop the destruction, such dire consequences occur. Statistics say that only 0.01% cystic formations still degenerate into malignant ones.

But if you take radical measures and start treatment, the growth of education stops. When the cause was clearly an injury, for example, after an accident, then perhaps the cyst will not grow.

Diagnostics

Important if you suspect benign neoplasm undergo a whole range of studies. All procedures are needed to understand whether there is real danger the appearance of new cysts. What will they recommend you do?

  • Consultation with a cardiologist is required. You need to understand whether there are heart defects or not.
  • Identify abnormalities in blood vessels. Angiography is performed.
  • Pressure monitoring is carried out.
  • A blood test that answers the question of whether autoimmune disease, which can cause abnormalities in the brain.
  • Blood cholesterol level test.

The entire complex of studies will allow us to judge the general forecast for the future. Perhaps the situation is quite acceptable and the treatment will not be delayed.

The specialist needs to make sure that the pain is actually due to the cyst and not a tumor or pseudotumor. To do this you need to do an MRI examination. This is the first procedure when we're talking about O neurological diseases and cephalgia.

Magnetic resonance imaging (MRI) - absolutely safe procedure. The device receives brain radiation. And where the tissues are denser, there will be darker areas in the image. This is education. MRI of the brain (the cyst is still dangerous for children) is done both for very young children and for allergy sufferers who cannot tolerate the injection. contrast agents.

Quality treatment

How does cyst treatment begin? Of course, we need to determine the reason. If it lies in autoimmune processes, then maybe it will happen again. With the treatment of formations caused by viruses or purulent infection, which has penetrated the brain due to inflammation of the middle ear, can be treated with antibiotics, which must be prescribed by a doctor.

Circulatory and cardiac disorders are treated with special medications and diet. You definitely need pills to help restore normal blood pressure. In many older people, the blood thickens and therefore blood clots are possible. Proper nutrition designed to reduce the amount of cholesterol in the blood and normalize blood thickness. Sometimes this helps restore blood circulation to the brain, but if not, you have to resort to surgery.

Some types of formations a priori need to be operated on, for example, a retrocerebellar cyst of the brain. But it can be removed only if there are no contraindications to the operation.

Conclusions

So, we found out everything about the brain cyst. Why it is dangerous and what are the symptoms of its development - all this information is important for those who heard the word “cyst” in the diagnosis. However, in most cases the situation develops well and surgical intervention is indicated only in cases of uncontrolled and constant growth.

To detect a cyst in a timely manner, an MRI of the brain is performed. A cyst that has not yet grown and caused significant tissue damage can stop its growth when adequate treatment is prescribed.

The appearance of cystic formations in the brain cavity causes serious danger for human health and life, therefore it requires immediate treatment. The main problem is that the brain cyst at the initial stage of its formation develops asymptomatically. But as its volume increases, nearby tissues and nerve endings are compressed, which sometimes leads to irreversible consequences.

Causes

Before talking about what provokes the development of this pathology, it is necessary to clearly define what a cyst is and how it differs from others oncological diseases and what to do when it is discovered.

A cyst is a kind of bubble filled serous fluid, which is characterized by a gradual increase in size. Its difference from other oncological diseases is that the cyst develops in the frontal lobe of the hemisphere and has a kind of capsule that prevents it from growing into neighboring tissues and organs. However, due to the fact that the formation can reach large sizes and compress nerves, as well as lead to degeneration of nearby tissues, it is considered no less dangerous than cancer.

Numerous factors can provoke the formation of cysts in women and men. Among them are:

  • Congenital pathology.
  • Abnormal structure of brain tissue.
  • Received head injuries.
  • Oxygen deficiency in the body.
  • Brain dystrophy and the development of degenerative processes in it, against the background of which the brain begins to fill with fluid.
  • Inflammation of brain structures.
  • Helminthic infestations.

Important! In 80% of cases, a cyst in the head area begins to form during the period embryonic development. For some people it is through certain time may disappear on its own, while in others it begins to develop further.

Therefore, often the causes of cysts lie in the health of the woman who carried the child. And this is influenced by the following factors:

  1. The presence of chronic diseases in the mother during pregnancy, in which metabolism is disrupted or there is a deficiency of certain hormones (for example, diabetes mellitus or hyperthyroidism).
  2. Cardiovascular pathologies in which placental circulation is disrupted and the fetus does not receive enough oxygen.
  3. Various viral and infectious diseases that often affect pregnant women (flu, herpes, ARVI, etc.).
  4. Use during pregnancy and before its onset alcoholic drinks, drugs, etc.
  5. Malnutrition, in which the fetus does not receive sufficient quantity useful substances necessary for its normal development.

But it should be noted that the occurrence of pathology is influenced not only by the health of the mother and her unborn child. The appearance of a formation that is detected after tens of years may be associated with:

  • Genetic predisposition.
  • Rh factor conflict.
  • Receiving injury while passing through the birth canal.
  • By squeezing the baby's neck with the umbilical cord.

Why is the cyst not detected immediately after birth? The thing is that to diagnose it you need to undergo an MRI or CT scan. However, in the first few months of life, such diagnostic methods meaningless, since they do not show pathology due to the incompletely formed brain. It can be detected only at 3–4 months of life, but not all parents consider it necessary to do an MRI or CT scan if they do not notice any manifestations of the cyst. It is for this reason that in most cases it is detected in adulthood - 16 - 20 years and older.

But when cysts form in adults, the causes are not always congenital. Its development can occur after a stroke, head injuries, infectious diseases, etc. And it is very important to diagnose the tumor in a timely manner and begin its treatment. And for this you will need to carry out preventive diagnostics every year and carefully listen to the “signals” that the body gives.

Danger of pathology

People who have encountered this disease are often interested in the question: why is a cyst dangerous, can it resolve, and what consequences does it lead to? If the formation was detected on initial stages of its formation, it does not pose a particular threat to human life and is easily treatable with medication.

But when a large formation was discovered during the examination, surgery is required. If it is not carried out, then further development Cysts can be caused by:

  • Impaired coordination of movements.
  • Psychological disorders.
  • Decreased quality of vision or its complete loss (the same applies to hearing).
  • Development of hydrocephalus and porencephaly.
  • Lethal.

All these consequences are quite serious, and in order to avoid them, you need to start therapeutic measures to eliminate a cyst in an adult immediately after its detection.

Clinical manifestations

When a tumor forms in the brain, the symptoms and treatment options are different and they depend, first of all, on the degree of development of the pathology.

Important! This tumor does not have external signs, which can be clearly observed in any photo, and throughout many years may not bother a person. Its presence can only be detected using modern diagnostic methods.

However, some people still experience certain signs development of tumors that have varying degrees its manifestation. This:

  • Throbbing headaches in the frontal or occipital part of the head (as the tumor grows, they become even more pronounced, making it impossible to bear).
  • Decreased physical activity.
  • Sleep disturbance.
  • Deterioration of vision and hearing.
  • Increased sweating.
  • Dyspnea.
  • Tremor of the limbs.
  • Presence of “goosebumps” before the eyes.
  • Leg cramps.
  • Loss of consciousness.

All these symptoms of formation in the brain are similar to the manifestations of other pathological processes in the body. But if a person has several signs of a tumor at once, which are described above, you need to urgently consult a doctor and get an MRI or CT scan.

Important! It is necessary to understand only early diagnosis and treatment of the cyst gives a chance for a complete recovery!

Congenital is manifested by frequent headaches and anxiety. The child becomes capricious, eats and sleeps poorly. At the same time, it is observed strong pulsation in the parietal part and lethargy of the limbs.

The localization of headaches in adults depends on where in the brain the cyst is located and what size it has reached. If the tumor is located closer to the forehead, then the pain appears in the frontal part of the head and can radiate to the temple. If the neoplasm is located closer to the back of the head, then, accordingly, it arises in the occipital part of the head.

Varieties

Before talking about how to treat a cyst, it is necessary to say a few words about the types of such tumors. Since it depends on them further tactics treatment. Cysts come in the following varieties:

  1. Colloidal. Occurs on the brain during embryonic development. When it forms in the brain, there is a disturbance in the outflow of cerebrospinal fluid, which leads to the appearance of regular headaches, with which, in principle, patients turn to doctors. Such a formation can resolve on its own, but this happens only in isolated cases.
  2. Pineal. The tumor develops in the pineal gland and is considered the most dangerous, since it is it that compresses optic nerves, which provokes a decrease in the quality of vision, as well as impaired coordination of movements. Pineal tumor often leads to the development of hydrocephalus and encephalitis. The greatest danger is posed by a porencephalic cyst, as it entails parencephaly and disability.
  3. Dermoid. This form of pathology begins to develop in the womb. Its peculiarity is that it does not dissolve and bothers the child very much. A dermoid tumor is characterized by rapid growth, so its treatment is not carried out with medication. IN in this case urgent surgical intervention is required.
  4. . Its development is caused by various infectious diseases that provoke the occurrence of inflammatory processes in the brain. It is easily treatable with medication.
  5. Abnormal. It consists of choroid plexuses and is a pathology of newborns. However, doctors do not consider this tumor dangerous, since in 90% of cases it disappears on its own within 6-10 months after birth. But if pregnancy was accompanied various diseases infectious nature, the child’s condition becomes more complicated, and serious complications may appear against the background of the tumor.

A congenital cyst does not pose a strong threat to human health, since it grows slowly and tends to resolve. The greatest danger is posed by acquired pathology, because in this case the tumor quickly progresses and leads to negative consequences.

Treatment methods

The question of how to treat a tumor in the brain in an adult can only be answered by a doctor, after receiving all the test results that make it possible to determine the type of tumor, its size and the degree of impairment of brain functionality.

Treatment of cysts can vary significantly and is carried out in several ways:

  • conservative;
  • operational.

If the size of the formation is small and there is a possibility that it will resolve, then conservative treatment, which accelerates this process, with the use of Karipain and Longidaz. At the same time important point getting rid of the tumor is to provide the brain cells with oxygen. And for this purpose they are appointed medicines such as Picamilon and Instenon.

Important! The key point in the treatment of cysts is to establish the cause of the tumor. And their role can be played by diabetes mellitus, hypertension, infectious diseases, etc. Therefore, in addition to the main drugs that are prescribed to resolve the neoplasm, drugs aimed at eliminating the root cause are also used.

If a cyst in the left or right hemisphere of the brain reaches a large size and becomes the cause of other pathologies, then its treatment is carried out only surgically.

If a formation is detected, surgical intervention can be performed in several ways:

  1. Shunting. This method involves removing the contents of the tumor out using drainage.
  2. Endoscopy. It is performed by puncture, but is rarely used, since most types of tumors cannot be operated on in this way.
  3. Trepanation. During the operation, a hole is punched in the skull in the right place, after which complete removal cysts. Most effective method in terms of treating this pathology, but the most difficult. It is not performed on newborns, as it is dangerous to their health.

Which method of surgical intervention will be chosen is determined only by the doctor, depending on what part of the brain was affected pathological processes, as well as on the volume of formation, its type and the general condition of the patient. After removal of the cyst, the patient is in a hospital setting, where he undergoes a rehabilitation period. Since this pathology tends to recur, the patient must undergo preventive examinations annually.

After surgery, exercise therapy is prescribed. Therapeutic gymnastics in this case is necessary in order to improve cerebral circulation and speed up the process of tissue regeneration, which will help the patient quickly recover after surgery.

Brain cystbenign tumor located in the brain. A cyst in the form of a small ball filled with fluid can be located in any part of the brain. The size and nature are determined by its location, period of occurrence and its causes.

Factors causing cysts

A cyst in the brain and its development may be due to various factors. Congenital cysts arise as a result of various abnormalities in the development of the fetus during pregnancy, injuries to the baby during childbirth or infections suffered in utero, and are often diagnosed in premature infants.

The appearance of a cyst can be caused by injuries, blows and concussions. Diseases such as vascular atherosclerosis, causing deterioration of blood flow and the development coronary disease or tissue necrosis contributes to the formation of cysts. Hemorrhages caused by for various reasons, diseases, causing inflammation in brain tissue, degeneration of brain cells, often accompanied by disturbances in mental state or their dystrophy: all this leads to the appearance of tumors of various localizations.

The tumor may appear as side effect after the surgical operations on the cranial cavity, in postoperative period It is important to monitor such patients and conduct regular MRI examinations.

Classification of brain cysts and their symptoms

Different types of brain cysts have their own characteristics and symptoms.

An archonoid cyst of the brain is formed due to inflammation; it looks like a small bubble with fluid inside. It is located, as a rule, between the layers of the membranes of the brain, and can remain unnoticed for a long time; it begins to cause unpleasant symptoms only when the fluid pressure in the bladder exceeds the total pressure inside the skull.

Symptoms of an archonoid cyst include severe pain localized in one area of ​​the head, vomiting and nausea. Attacks of hallucinations and manifestations of epilepsy are possible. When the tumor reaches a dangerous size, it causes paralysis of one part of the body, the so-called hemiparesis. Such neoplasms affect not only physical health patient, but also provoke mental disorders, accompanied by memory loss, depression or inappropriate behavior.

A cyst formed inside the brain is called a retrocerebellar cyst. It forms inside the brain, replacing destroyed brain cells gray matter. This type of tumor is divided into several subtypes.

Colloidal, called a tumor with slow development, contains inside itself a liquid similar to gelatin interspersed with tissue cells. When it appears, it blocks the flow of fluids and contributes to the development of hydrocephalus. Most often localized in the left hemisphere.

Dermoid- a tumor that forms due to deviations in intrauterine development or due to infections transmitted by the fetus. Consists of cells of the epidermis, dermis, sebaceous glands. Most often it has a multi-chamber cavity. Inside of which there is a mass resembling fat. Usually located at the site of an overgrown embryonic cavity, the so-called fontanel;

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Epidermoid- This congenital tumors, they develop, as a rule, at 5-7 weeks of pregnancy, often its presence in the fetus is not detected until birth. Most often localized in the cerebellum. Since the tumor develops very slowly and can remain dormant for years, it is diagnosed in adults aged 30 to 40 years. As the tumor grows, it puts pressure on the brain stem and nerves inside the skull, and often invades blood vessels and tissues.

Pineal neoplasm is the most difficult to diagnose, since it is localized deep in the brain and affects the pineal gland - pineal gland. These types of neoplasms often lead to disturbances in the processes of puberty and slow growth.

The symptoms of cysts are quite wide. The patient may be bothered various symptoms, ranging from pain with pronounced pulsation, and ending with disorders of the psycho-emotional state. A tumor located deep in the brain can affect the functioning of the sensory organs and cause hearing impairment, noise, and hearing loss; visual disturbances, usually not permanent, occurring in the form of attacks, temporary darkening and clouding of the eyes, “spots”, attacks of myopia, double vision. In addition, it is capable of blocking the functioning of receptors and nerves, causing paralysis of a part of the body or limbs, which can be complete or partial or lead to disturbances in the tactile functions of the skin.

Symptoms of this type also include dizziness, sudden losses consciousness, numbness in the arms or legs, nosebleeds and hallucinations. This is an incomplete list of symptoms caused by intracerebral tumors. In addition, tumors often do not manifest themselves for a long time, and their symptoms can appear sporadically and be attributed by patients to fatigue and stress. The brain, which has a cyst, sooner or later exhibits malfunctions in its functioning. It is important not to miss symptoms and not attribute them to other diseases.

Diagnosis of brain cyst


The main methods for diagnosing cysts are MRI and CT. Magnetic resonance imaging is performed using contrast administered intravenously. This method of examination makes it possible to paint over neoplasms in photographs; if the tumor is malignant, it will definitely be painted over with contrast, while a benign tumor does not respond to contrast.

Computer research allows you to determine the size and location of the tumor in a 3D model, which greatly simplifies the further process of its operation.

In addition to the above methods for diagnosis, it is necessary to carry out a number of laboratory research, they help to detect the root cause of the appearance of a tumor and classify it. Such studies include:

  • ultrasound examination of blood vessels. It is carried out to identify lesions in the vessels that provide the cerebral hemispheres and its other parts with normal blood flow. Affected vessels cause disturbances in blood circulation, which leads to the destruction of gray matter and the formation of a tumor;
  • Ultrasound and cardiograms of the heart. Disturbances in the functioning of the heart muscles contribute to poor quality blood flow in all organs, including the brain;
  • detailed blood tests. Such tests make it possible to detect the level of cholesterol and blood clotting; these indicators affect the formation in blood vessels cholesterol plaques and various blood clots, which entails blood retention in the vessels and, as a consequence, the formation of a tumor;
  • control sections of blood pressure indicators. The patient's blood pressure is measured throughout the day; if an increase in its level is detected during the study, this often indicates that there is a risk of strokes and the subsequent appearance of cysts;
  • tests aimed at identifying infectious diseases. These tests use blood and urine. Target this study consists of identifying infectious diseases in the patient that cause cell damage in various areas of the brain and the further formation of atheroma.

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All these studies can determine whether a cyst is congenital or acquired. A brain cyst is detected in adults 3 times more often than in children; the reason for this is often its asymptomatic course for several decades.

Treatment of brain cysts

In cases where the detected cyst does not manifest itself in any way for a long time: it does not cause unpleasant symptoms, does not increase in size, the patient is prescribed therapeutic treatment. This treatment of a brain cyst involves observation by a neurologist, periodic MRI examinations and drug therapy.

Therapy medicines, first of all, is aimed at getting rid of the root cause of tumor formation. If atheroma is the result of an infectious disease, the infection is treated specifically; if the cause is vascular atherosclerosis, therapy will be aimed at reducing the level of cholesterol in the blood.

If an MRI shows that the tumor is increasing in size and causing unpleasant symptoms, a decision is made about surgical intervention. Currently, several methods of operations aimed at removing brain cysts have been developed and tested; each method has its own advantages and disadvantages.

The safest and least traumatic way to remove a cyst in the head is endoscopy. The essence of the operation is to insert an endoscope under the skull, which collects fluid from the tumor ball. This operation is possible only for archonoid cysts; insertion of an endoscopic apparatus into deep cavities is prohibited. The effectiveness of endoscopy is confirmed by many years of research and the results of postoperative observation of patients. Recurrence of tumors within 5 years occurs in only 2% of those operated on; after 6-10 years, tumors return only to 1%.

For operations in the deep cavities of the brain, shunting is used. This method allows you to open the tumor and distribute the fluid it contains to other brain regions and tissues. The distribution of fluid does not harm tissues and reduces intracranial pressure. The effectiveness of bypass surgery has been proven in 98% of cases; the rehabilitation period after such surgery is no more than 2 weeks.

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The most dangerous and traumatic method of removal is excision. To carry out such an operation, a craniotomy is performed, followed by excision of the area of ​​the neoplasm and the cells adjacent to it. Excision is necessary if the bladder contains fluid that can harm other cells, for example, it may contain inclusions of epithelial cells or fat.

In addition, rehabilitation after such an operation takes at least 1 month and includes taking a number of drugs that prevent the development of infections and inflammation, as well as promote rapid cell regeneration. For patients, the consequences of such an operation are very painful.

Return of the tumor after excision within 5 years from the date of surgery is observed in 2% of patients, while mortality during surgery is 4%, and in the postoperative period 2.5%.

The choice of method for removing a cyst depends on its size, location and the nature of the fluid it contains.

Operations are performed in neurosurgical departments of clinics in Russia and abroad. The patient has the right to choose the clinic for treatment. It is important to remember that most domestic doctors perform such operations for free, while foreign clinics charge quite large bills for treatment.
The best representatives of domestic neurosurgery who perform such operations are considered to be doctors working in leading clinics in the capital, such as V.V. Krylov, Grin. A.A. and Grigoryan Yu.A.
The founder and creator of domestic microneurosurgery is the director of the Research Institute named after. Burdenko Konovalov A.N. It was he who created a new direction in neurosurgery, the most gentle and capable of eliminating almost any type of brain damage localized in any part of it. Microneurosurgery has become a breakthrough in this type of surgery. Alexander Nikolaevich personally performed more than 10,000 operations to remove various pathologies. Doctor Konovalov’s students work in clinics throughout Russia, performing the most complex neurosurgical operations daily.