Arachnoid cysts of the middle cranial fossa: a clinical, radiological and follow-up study.

Twenty-seven patients with CT-scan-diagnosed arachnoid cysts in the middle cranial fossa were studied. Five (18%) presented with progressive symptoms related to raised intracranial pressure which had developed after minor trauma and secondary bleeding, 12 (44%) presented with non-progressive symptoms, and 10 (37%) exhibited neurological syndromes not referable to the cyst. Among those with non-progressive symptoms, epilepsy was the most common presentation (67%). More than 60% of the cysts were small and limited to the anterior temporal region or to the Sylvian fissure, the remaining cysts involved both the anterior temporal region and the Sylvian fissure, and expanded to the adjacent fronto-temporal or fronto-parietal regions. The volume measurements of the brain tissue performed on CT scan revealed that between the volume of the two hemispheres there was no significant difference suggesting any evidence of agenesis or hypoplasia of the affected temporal lobe.

[Kaposi's sarcoma: on its frequent association with lymphoreticular neoplasms and diabetes mellitus]. / Sarcoma di Kaposi: sulla frequente associazione con neoplasie linforeticolari e diabete mellito.

Kaposi's sarcoma (K.S.) is associated relatively frequently with diabetes mellitus and with a second often lymphoreticular neoplasia. On the basis of the three cases reported, which presented an association of diabetes mellitus, chronic lymphatic leukaemia, Hodgkin's lymphoma and K.S., the relationship between neoplastic diseases, immunological and lymphoproliferative disorders and virus infections is considered.