scholarly journals Intraventricular arachnoid cyst of lateral ventricle in an elderly patient

2020 ◽  
pp. 106-109
Author(s):  
Rajneesh Misra ◽  
Sushil Kumar ◽  
Sandeep Sharma ◽  
Pankaj Bharadva
Keyword(s):  
Elderly Patient ◽  
Arachnoid Cyst ◽  
Lateral Ventricle ◽  
Cystic Lesion ◽  
Arachnoid Cysts

Arachnoid cysts are usually located in relation to the arachnoid cisterns. Intra-ventricular location is rare and its embryological emergence in this site is controversial. We report a large intra-ventricular cyst in a 61-year-old female who presented with decreased vision, headache and right hemiparesis. MRI was suggestive of cystic lesion in the lateral ventricle and was excised completely through a craniotomy.

scholarly journals Case Report: A Case of Acquired Symptomatic Arachnoid Cyst in an Elderly Patient

2019 ◽  
pp. 1-3
Author(s):  
Ryosuke Sawaya ◽  
Daisuke Shimbo ◽  
Katsuyuki Asaoka ◽  
Kazuki Uchida ◽  
Koji Itamoto ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Arachnoid Cyst ◽  
Subarachnoid Space ◽  
The Elderly ◽  
Arachnoid Cysts ◽  
Subdural Hygroma ◽  
Cyst Excision ◽  
Cyst Recurrence

Arachnoid cysts comprise approximately 1% of all intracranial space-occupying lesions and etiologies of its formation are believed to be both congenital and acquired. However, very few cases of symptomatic acquired arachnoid cyst have been reported so far in the elderly. Here we report a case of acquired symptomatic arachnoid cyst in an elderly patient. We present here a case of 75 years-old male presenting with seizure-like episode. He was diagnosed bilateral subdural hygroma and left-sided arachnoid cyst by CT. However, he was performed CT 12 years ago, which showed no arachnoid cyst then. We performed microsurgical cyst excision and fenestration to the subarachnoid space. Postoperatively his condition has been excellent so far, with no cyst recurrence.

Intraventricular arachnoid cyst

1988 ◽  
Vol 68 (3) ◽  
pp. 482-486 ◽  
Author(s):  
Hiroyuki Nakase ◽  
Manabu Hisanaga ◽  
Shigeo Hashimoto ◽  
Masami Imanishi ◽  
Shozaburo Utsumi
Keyword(s):  
Arachnoid Cyst ◽  
Lateral Ventricle ◽  
Relevant Literature ◽  
Arachnoid Cysts ◽  
Initial Symptom ◽  
Content Type ◽  
Fine Print

✓ Two patients with intraventricular arachnoid cysts are reported and a brief review of the relevant literature is presented. Arachnoid cysts are usually extracerebral or extraventricular. Intraventricular arachnoid cysts are rare: including the two cases reported here, only five cases have been described. The following characteristics were noted in these five patients: all were young; headache was the initial symptom in four; the cyst was in the trigone of a lateral ventricle in four; and there was dilatation of the inferior horn in three.

scholarly journals Symptomatic foramen of Magendie arachnoid cyst in an elderly patient: The second case report in the literature

2019 ◽  
Vol 10 ◽  
pp. 189
Author(s):  
Ítalo Teles de Oliveira Filho ◽  
Paulo Cesar Romero ◽  
Emílio Afonso França Fontoura ◽  
Saul Dalla de Oliveira ◽  
Ricardo Vieira Botelho
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Posterior Fossa ◽  
Arachnoid Cyst ◽  
Incidental Findings ◽  
Cystic Lesion ◽  
Lower Limbs ◽  
Resonance Imaging ◽  
Suboccipital Craniectomy ◽  
Asymptomatic Patients

Background: Arachnoid cysts are benign extra-axial lesions corresponding to 1% of intracranial expansive lesions. They are usually incidental findings in asymptomatic patients. Most cases are congenital, and when symptomatic are diagnosed in childhood or adolescence. Symptomatic arachnoids cyst in elderly patients is very rare. This report documents the second case in the literature of a symptomatic elderly patient with an arachnoid cyst located in the foramen of Magendie. Case Description: A 68-year-old male had weakness in the lower limbs, imbalance, and gait disturbance for 3 years, associated with frequent falls. The patient complained of paresthesia in the upper right limb and right hemiface. An magnetic resonance imaging showed a massive cystic lesion in the posterior fossa in the foramen of Magendie. A median suboccipital craniectomy was performed, and the cyst was removed. Conclusion: This case report adds to the literature the second case of a patient with a symptomatic arachnoid cyst in the posterior fossa successfully treated by surgery.

A sacral arachnoid cyst causing holocord syringomyelia

2011 ◽  
Vol 8 (3) ◽  
pp. 299-302 ◽  
Author(s):  
Sumit Thakar ◽  
Narayanam Anantha Sai Kiran ◽  
Alangar S. Hegde
Keyword(s):  
Mr Imaging ◽  
Arachnoid Cyst ◽  
Complete Resolution ◽  
Spastic Paraparesis ◽  
Arachnoid Cysts ◽  
Sensory Loss ◽  
Low Back ◽  
Filum Terminale ◽  
Sensory Deficits

Spinal extradural arachnoid cysts (ACs) have an infrequent predilection for the sacrum. As with their counterparts in other regions of the spine, cysts in this location are mostly asymptomatic. Common presentations in symptomatic cases include pain in the low back or perineum, radiculopathy, and sphincteric dysfunction. The authors report a hitherto undescribed presentation in which the predominant symptoms are those related to an associated holocord syrinx. This 15-year-old boy presented with fluctuating, spastic paraparesis and a dissociated sensory loss in the trunk. Admission MR imaging of the spine showed an extradural AC from S-2 to S-4 and a holocord, nonenhancing syrinx. The patient underwent S-2 laminectomy, fenestration of the cyst, and partial excision of its wall. Intradural exploration revealed a normal-looking filum terminale and the absence of any dural communication with the cyst. At a follow-up visit 6 months after surgery, his motor and sensory deficits had resolved. Follow-up MR imaging showed complete resolution of the syrinx in the absence of the sacral AC. This is the first report of a sacral extradural AC causing holocord syringomyelia. Because conventional theories of syrinx formation were not helpful in elucidating this case, a hypothesis is postulated to explain the clinicoradiological oddity.

Giant syringobulbia associated with cerebellopontine angle arachnoid cyst and hydrocephalus

2011 ◽  
Vol 8 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Ai Muroi ◽  
Nigel Peter Syms ◽  
Shizuo Oi
Keyword(s):  
Arachnoid Cyst ◽  
Head Circumference ◽  
Lateral Ventricle ◽  
Cerebellopontine Angle ◽  
External Ventricular Drainage ◽  
Magnetic Resonance Images ◽  
Ventricular Catheter ◽  
Cerebrospinal Fluid Diversion ◽  
Left Lateral Ventricle ◽  
The Brain

The aim in reporting this case was to discuss the pathophysiology and treatment issues in an infant with a giant syringobulbia associated with a right cerebellopontine angle (CPA) arachnoid cyst causing noncommunicating hydrocephalus. This 7-month-old infant presented to the hospital with a history of delayed milestones and an abnormal increase in head circumference. Magnetic resonance images and CT scans of the brain showed a large CSF cavity involving the entire brainstem and a right CPA arachnoid cyst causing obstruction of the fourth ventricle and dilation of the lateral and third ventricles. Cerebrospinal fluid diversion was performed by direct communication from the syringobulbia cavity to the left lateral ventricle and from the left lateral ventricle through another ventricular catheter; external ventricular drainage was performed temporarily for 5 days. Communication between the syrinx and arachnoid cyst was confirmed. Clinically, there was a reduction in head circumference, and serial MR imaging of the brain showed a decrease in the size of the syrinx cavity and the ventricle along with opening of the normal CSF pathways. The postoperative course was uneventful, and no further intervention was necessary. On follow-up of the child at 3 years, his developmental milestones were normal. Surgical intervention for this condition is mandatory. The appropriate type of surgery should be performed on the basis of the pathophysiology of the developing syringobulbia.

Cyst-ventricle stent as primary or salvage treatment for posterior fossa arachnoid cysts

2011 ◽  
Vol 7 (5) ◽  
pp. 549-556 ◽  
Author(s):  
Daniel H. Fulkerson ◽  
Todd D. Vogel ◽  
Abdul A. Baker ◽  
Neal B. Patel ◽  
Laurie L. Ackerman ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Arachnoid Cyst ◽  
Arachnoid Cysts ◽  
Morbidity Rate ◽  
Initial Symptom ◽  
Salvage Procedure ◽  
The Third ◽  
First Line Therapy ◽  
Posterior Fossa Cyst

Object The optimal treatment of symptomatic posterior fossa arachnoid cysts is controversial. Current options include open or endoscopic resection, fenestration, or cyst-peritoneal shunt placement. There are potential drawbacks with all options. Previous authors have described stenting a cyst into the ventricular system for supratentorial lesions. The current authors have used a similar strategy for posterior fossa cysts. Methods The authors performed a retrospective review of 79 consecutive patients (1993–2010) with surgically treated intracranial arachnoid cysts. Results The authors identified 3 patients who underwent placement of a stent from a posterior fossa arachnoid cyst to a supratentorial ventricle. In 2 patients the stent construct consisted of a catheter placed into a posterior fossa arachnoid cyst and connecting to a lateral ventricle catheter. Both patients underwent stent placement as a salvage procedure after failure of open surgical fenestration. In the third patient a single-catheter cyst-ventricle stent was stereotactically placed. All 3 patients improved clinically. Two patients remained asymptomatic, with radiographic stability in a follow-up period of 1 and 5 years, respectively. The third patient experienced initial symptom resolution with a demonstrable reduction of intracystic pressure. However, he developed recurrent headaches after 2 years. Conclusions Posterior fossa cyst–ventricle stenting offers the benefits of ease of surgical technique and a low morbidity rate. It may also potentially reduce the incidence of shunt-related headaches by equalizing the pressure between the posterior fossa and the supratentorial compartments. While fenestration is considered the first-line therapy for most symptomatic arachnoid cysts, the authors consider cyst-ventricle stenting to be a valuable additional strategy in treating these rare and often difficult lesions.

Treatment of Fourth Ventricle Arachnoid Cyst via Anterior Hone of Lateral Ventricle Using Flexible Endoscope

2019 ◽  
Vol 124 ◽  
pp. 224-227
Author(s):  
Satoru Hiroshima ◽  
Takehiro Saga ◽  
Masato Saito ◽  
Yukie Tamura ◽  
Hiroshi Ogawa ◽  
...  
Keyword(s):  
Arachnoid Cyst ◽  
Lateral Ventricle ◽  
Fourth Ventricle ◽  
Flexible Endoscope

scholarly journals Role of intraoperative dynamic magnetic resonance myelogram in management of giant dorsolumbar spinal extradural arachnoid cyst: case report

2017 ◽  
Vol 27 (2) ◽  
pp. 185-188 ◽  
Author(s):  
Rakesh Kumar Mishra ◽  
Nupur Pruthi ◽  
Rose Dawn Bharath ◽  
Bhaskara Rao Malla
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Arachnoid Cyst ◽  
Arachnoid Cysts ◽  
Ct Myelography ◽  
Novel Technique ◽  
Similar Report ◽  
Extradural Arachnoid Cyst ◽  
Mr Myelography

Giant dorsolumbar spinal arachnoid cysts are a complex, poorly understood, and difficult to manage clinical entity. Traditional CT myelography is technically difficult to use in these cases to detect the site of leakage preoperatively. The authors report a novel technique for detecting the site of the leak by using sequential, dynamic intraoperative MR myelography. To the authors’ knowledge, there is no other similar report in the literature.

scholarly journals Symptomatic Thoracic Intramedullary Arachnoid Cyst: “A Rare Entity” Report of Two Cases with Short Review of Literature

2019 ◽  
Vol 10 (02) ◽  
pp. 306-311 ◽  
Author(s):  
Naresh Panwar ◽  
Devendra Kumar Purohit ◽  
Somnath Sharma ◽  
Sanjeev Chopra
Keyword(s):  
Arachnoid Cyst ◽  
Case Reports ◽  
Adult Population ◽  
Short Review ◽  
Arachnoid Cysts ◽  
Rare Entity ◽  
Review Of Literature ◽  
Benign Lesions ◽  
Clinicopathological Profile ◽  
Compressive Myelopathy

ABSTRACTSpinal arachnoid cysts are uncommon benign lesions of spine axis and most commonly present as compressive myelopathy. Intramedullary arachnoid cyst is uncommonly seen, hence, not much discussed in literature. Due to rarity of this entity, many questions are yet to be answered and should be addressed properly, particularly related to etiopathogenesis, accustomed course, behavior, differential diagnosis, and the best treatment modality. We report the clinicopathological profile of thoracic intramedullary arachnoid cysts in two adult patients, and present a detailed review of available literature on the spinal intramedullary arachnoid cyst. Most of the literature concerning with intramedullary arachnoid cysts are in the form of case reports from pediatrics population. As far to the best of our knowledge, only a few cases excluding our two were found in both pediatrics and adult population.

scholarly journals Giant nontraumatic intradiploic arachnoid cyst in a young male

2016 ◽  
Vol 49 (5) ◽  
pp. 337-339 ◽  
Author(s):  
Rajesh Sharma ◽  
Puneet Gupta ◽  
Manik Mahajan ◽  
Poonam Sharma ◽  
Anchal Gupta ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Arachnoid Cyst ◽  
Young Male ◽  
Arachnoid Cysts ◽  
X Rays ◽  
Occipital Region ◽  
Resonance Imaging ◽  
Computed Tomography Scans ◽  
Intradiploic Arachnoid Cyst ◽  
Growing Mass

Abstract Intradiploic arachnoid cysts have scarcely been reported in the literature, most reported cases being secondary to trauma. Nontraumatic arachnoid cysts are quite rare and have been reported mostly in adults. Here, we report the case of a 16-year-old male presenting with a slowly growing mass in the occipital region and intermittent headaches. On the basis of the findings of X-rays, computed tomography scans, and magnetic resonance imaging scans of the head, the mass was diagnosed as a giant intradiploic arachnoid cyst.

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