Galassi classification

The Galassi classification is used for the neuroradiological classification of Arachnoid cysts in the middle cranial fossa into three distinct types and was first described in 1982 by Galassi et al.[^1].

Classification

Galassi type

Criteria

Galassi type I

Small and spindle-shaped. The cyst is located in the anterior portion of the temporal fossa. The Temporal pole is compressed posteriorly, without a significant mass effect. There is no displacement of the Ventricular system or the midline.

Galassi type II

The lesion is medium-sized and triangular or quadrangular in shape. It occupies the anterior and middle portions of the temporal fossa and extends superiorly along the Sylvian fissure. As a result, the temporal lobe appears shortened.

Galassi type III

The lesion is large and appears oval or round. It occupies almost the entire space in the temporal fossa and extends into the respective hemisphere, separating the Operculum from the Sylvian fissure. The temporal lobe appears atrophic, and the Frontal- and Parietal lobe are largely compressed. There is a clear mass effect with displacement of the ventricular system and the midline.

Figure

Galassi classification
Illustration of the arachnoid cyst classification from the original publication by Galassi et al. The left column shows the preoperative images, and the right column shows a follow-up CT after one year. -A- Type I arachnoid cyst -B- Type II arachnoid cyst -C- Type III arachnoid cyst.

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  • Text changed: “The Galassi classification is used in neuroradiology to categorize arachnoid cysts in the middle cranial fossa into three distinct types and was first described in 1982 by Galassi et al.[^1].”“The Galassi classification is used for the neuroradiological classification of Arachnoid cysts in the middle cranial fossa into three distinct types and was first described in 1982 by Galassi et al.[^1].”

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