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Huge arachnoid cyst of the occipital cerebral convexity.

Abstract
A 68-year-old woman presented with a rare huge right occipital cystic lesion manifesting as progressive left hemiplegia. Cranial computed tomography revealed a 4 x 7 cm right occipital lobe thin-walled cyst with midline shift and compression of the ipsilateral ventricle. The patient underwent a single burr hole operation for cystography and delineation of the cyst anatomy, then a separate right parieto-occipital craniotomy with complete cyst evacuation, corticotomy, and ventriculostomy. The presumptive diagnosis was arachnoid cyst. The symptoms had completely resolved by 4 months after surgery with nearly normal neuroimaging appearance after 7 months. Cystography followed by craniotomy and ventriculostomy may be effective for supratentorial arachnoid cysts.
AuthorsAdam Tucker, Hiroji Miyake, Takehisa Omura, Masao Tsuji, Tohru Ukita, Kentaro Nishihara, Shizuo Oi
JournalNeurologia medico-chirurgica (Neurol Med Chir (Tokyo)) Vol. 46 Issue 7 Pg. 361-5 (Jul 2006) ISSN: 0470-8105 [Print] Japan
PMID16861832 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Arachnoid Cysts (complications, diagnosis, surgery)
  • Disease Progression
  • Female
  • Hemiplegia (etiology)
  • Humans
  • Magnetic Resonance Imaging
  • Occipital Lobe (diagnostic imaging, pathology, surgery)
  • Tomography, X-Ray Computed
  • Ventriculostomy

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