Acces scale a new instrument for assessing cerebral arachnoid cysts in children

Arachnoid cerebral cyst in children are a pathology which induces fear, anxiety and false perceptions in the children’s affected family. Monitoring arachnoid cysts on long term can prevent the evolution of the child to a lower quality of life and the aggravation of the condition in some cases. Wetake in study 83 children which were diagnosed with computer tomography or magnetic resonance with arachnoidcerebral cystsin the period 2014-2016 and we applied on them a new grading scale for arachnoid cysts, arachnoid cerebral cysts children evaluating scale ( ACCES scale). This scale contains four items: 1) the clinic involvement 0-3, 2) compression phenomena 0-3, 3) presence or absence of seizures, 4) cognition (memory, thinking), language or behavioural disturbances 0-3. So by far the child is evaluated and we can recognise the most severe cases and make intervention plan. There were evaluated 83 children with imagistic discovered arachnoid cerebral cysts. A male predominance was observed 59 boys and 24 girls. The age when the cyst were discovered was at 10 years old, by far the most. Cyst size was more often in the greatest diameter of 20-30 mm (31 children). There were children with one or more arachnoid cysts. Also there were children with associated malformations. In our series the highest ACCES score was 6, but a score higher than 4 influences the daily life of the patient. The proposed method is of great clinic utility, is not invasive and brings not new costs for patient investigation.