arachnoidal

A. An operation is not always necessary, it depends on the size and location of the cyst. I suggest you take your son to a neurologist or a neurosurgeon for further consult.

A. Basically it's like a small sac filled with fluid. The problem is that the skull is a rigid closed space, which means that if there's something other than the brain, it'll occupy space, usually on expense of the brains' space. These kinds of problems are often referred to as "space occupying lesion".

It's usually congenital (i.e. develops during pregnancy), and even when it cause symptoms they develop slowly.

YOu can read more here (http://en.wikipedia.org/wiki/Arachnoid_cyst)

A. An arachnoid cyst that leads to symptoms usually needs treatment. Mild symptoms as you suggested are ok to left untreated however gradual onset of new symptoms may arise such as seizures, paralysis and other complications, therefore once symptoms occur one should consider treatment.