What Is a Brain Cyst / Arachnoid Cyst?

Question: What is a brain cyst, an arachnoid cyst?

Answer: Arachnoid cysts are often detected incidentally and many do not cause symptoms. Large series report that arachnoid cysts may be seen in about 1% of the general population.

What should you do if you are told “You have a cyst in your brain”?

  1. Note the cyst name (e.g., arachnoid cyst), location, and size from the report.
  2. If there are no symptoms, follow-up is usually planned; the physician determines the interval.
  3. If there are seizures, progressive headache, or neurological findings, re-evaluation is needed.

Incidental findings on brain MRI are not exceedingly rare; large reviews report incidental brain findings at approximately 2–3%.