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.
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Authors | Adam Tucker, Hiroji Miyake, Takehisa Omura, Masao Tsuji, Tohru Ukita, Kentaro Nishihara, Shizuo Oi |
Journal | Neurologia medico-chirurgica
(Neurol Med Chir (Tokyo))
Vol. 46
Issue 7
Pg. 361-5
(Jul 2006)
ISSN: 0470-8105 [Print] Japan |
PMID | 16861832
(Publication Type: Case Reports, Journal Article)
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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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