Right temporal pole arachnoid cysts require surgery for removal. arachnoid cysts are composed mainly of cerebrospinal fluid, and surgical options are available: 1. drainage of cerebrospinal fluid from the arachnoid cyst to other locations, a cyst-abdominal shunt is usually the clinical choice. 2. external drainage of the arachnoid cyst can also be performed directly, also known as arachnoid cyst needle aspiration, but not all right temporal pole arachnoid cysts need to be addressed. It is possible that many people will not experience any clinical symptoms for life. Surgical treatment is only indicated for patients with associated symptoms, such as recurrent seizures, intolerable headaches, or obstructive hydrocephalus that may be considered for surgery.