Management of Arachnoid Cysts of the Head and Spine in Children

Initial Management at Presentation

• Assess: Evaluation for and management of elevated ICP is required.
• Scan: MRI scans should be obtained to evaluate cysts and rule out other entities.
• Treat: Surgery is indicated for growing or symptomatic cysts.

Adjunctive Therapies

• None

Follow-up

• Visits as indicated: The patient should be followed for ICP issues when indicated.
• New baseline image set: A follow-up scan should be obtained to establish a new baseline in 3–6 months. Subsequent imaging is based on recurrent symptoms.