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Suggest Treatment For Weakness In Left Arm And Difficulty Speaking

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Posted on Mon, 2 Nov 2015
Question: How effective is to burr hole drainage of the arachnoid cyst. I am 71 years, if this procedure is good for few years and can be repeated, I believe is ideal for me. My symptoms are weak left arm and difficulty specking.
MRI indicate a arachnoid cyst of about 80CC. Please advise.
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Answered by Dr. Dr. Erion Spaho (53 minutes later)
Brief Answer:
Burr hole evacuation of cyst is a good possibility.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Most arachnoid cysts don't need treatment.

If it is confirmed by clinical examination and MRI findings that the cyst is responsible for the symptoms, then treatment with the aim of cyst contents evacuation is indicated.

There are several techniques that are used to treat arachnoid cysts including open surgery, endoscopy, cystoperitoneal drainage, burr hole evacuation.

I think burr hole evacuation is a good possibility because it is a minimally invasive procedure and can be repeated if recurrence occurs.

So, if the arachnoid cyst is causing your symptoms, it should be treated.

Hope this helps.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4502 Questions

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Suggest Treatment For Weakness In Left Arm And Difficulty Speaking

Brief Answer: Burr hole evacuation of cyst is a good possibility. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. Most arachnoid cysts don't need treatment. If it is confirmed by clinical examination and MRI findings that the cyst is responsible for the symptoms, then treatment with the aim of cyst contents evacuation is indicated. There are several techniques that are used to treat arachnoid cysts including open surgery, endoscopy, cystoperitoneal drainage, burr hole evacuation. I think burr hole evacuation is a good possibility because it is a minimally invasive procedure and can be repeated if recurrence occurs. So, if the arachnoid cyst is causing your symptoms, it should be treated. Hope this helps. Let me know if I can assist you further. Take care.