Case Report
Volume 3 Issue 6 - 2020
Discussion of Review on Protocols Treatments of Arachnoid Cysts Explored by Nuclear Medicine
Roberto Levi Cavalcanti Jales1* and Sebastião David Santos-Filho2
1Clínica Nuclear de Natal, Tirol, Natal, RN, Brazil
2Centro Universitário Natalense, UNICEUNA, Lagoa Nova, Natal, RN, Brazil
*Corresponding Author: Roberto Levi Cavalcanti Jales, Clínica Nuclear de Natal, Tirol, Natal, RN, Brazil.
Received: April 23, 2020; Published: May 26, 2020




Abstract

Background: The fact of Nuclear Medicine (NM) still been the first cerebral exams to explore psychiatric patients initiate a discussion about the relationships between “findings” in the brain. Arachnoid cysts (AC) are the most common benign intracranial cyst, accounting for about 1% of all intracranial space-occupying lesions. Regarding the concomitance of arachnoid cysts with psychiatric disorders are scarce, but in this presentation brain scintigraphy no image associated psychic disturbs were founded, only a focal hypoperfusion. Aims: From an exclusively neurological point of view, there is a consensus of not operating an asymptomatic patient, but a new paradigm may be emerging with the increasing use of NM in psychiatry.

Methods: NM perfusion image with radiotracer HMPAO was made and shows an arachnoid cyst on left temporal lobe first.

Results: The increasing contribution of NM and psychiatry receiving patients before Computed Tomography (CT) (all patients symptomatic) may in the near future force a revision of the criteria for the treatment of arachnoid cysts with greater appreciation of psychiatric symptoms, and turn on this technique the first exam for psychiatric patients.

Conclusion: The AC treatment indefiniteness continues in patients that have only psychic complains, however without classic mental diseases diagnostic. This reality it’s been growing in parallel with the participation of NM in psychiatry to reveals the psychosis components. A complementary investigation with CT or Nuclear Magnetic Resonance (NMR) it is necessary.

Keywords: Nuclear Medicine; Arachnoid Cyst; Psychiatry; Computed Tomography; Nuclear Magnetic Resonance

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Citation: Roberto Levi Cavalcanti Jales and Sebastião David Santos-Filho. “Discussion of Review on Protocols Treatments of Arachnoid Cysts Explored by Nuclear Medicine”. EC Clinical and Medical Case Reports 3.6 (2020): 147-152.

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