Improvement in Hearing Loss Following Posterior Fossa Arachnoid Cyst Fenestration: A Case Study

被引：1

作者：

Lockard, Gavin M. ^{[1
]}

Piper, Keaton ^{[1
]}

Kumar, Jay I. ^{[1
]}

Riddle, Nicole ^{[2
]}

Flouty, Oliver ^{[1
]}

机构：

[1] Univ S Florida, Neurosurg & Brain Repair, Tampa, FL 33620 USA

[2] Univ S Florida, Pathol & Cell Biol, Tampa, FL USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 01期

关键词：

hearing loss; headache; excision; fenestration; infratentorial; arachnoid cyst; posterior fossa;

D O I：

10.7759/cureus.51750

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Arachnoid cysts are abnormal intradural collections of cerebrospinal fluid. For posterior fossa arachnoid cysts (PFACs), symptoms vary greatly, often relating to cranial nerve impingement and/or hydrocephalus. Literature on long-term symptomatic and radiographic follow-up of PFACs is lacking. This case study describes a 32-year-old man who presented with headaches and left-sided hearing loss and was found to have a large left-sided cerebellopontine angle arachnoid cyst with syrinx and ventriculomegaly. After PFAC fenestration and excision, his headaches resolved and his hearing markedly improved. At the one-year postoperative evaluation, symptom improvement persisted, and MRI demonstrated a stable decreased cyst and near-complete resolution of his syrinx.

引用

页数：6

共 10 条

[1]

Bonde V, 2008, SINGAP MED J, V49, pE281

[2]

Cambria S, 1985, J Neurosurg Sci, V29, P51

[3] Objective improvement in adults with cerebellopontine angle arachnoid cysts after surgical treatment [J].

Caudron, Yohan ;

Sterkers, Olivier ;

Bernardeschi, Daniele ;

Kalamarides, Michel .

ACTA NEUROCHIRURGICA, 2021, 163 (03) :753-758

[4] Arachnoid cyst of the cerebellopontine angle causing isolated acute hearing loss, with literature review [J].

Cavusoglu, Halit ;

Kahyaoglu, Okan ;

Aydin, Yunus .

ACTA NEUROCHIRURGICA, 2015, 157 (11) :1999-2001

[5] Arachnoid Cyst Presenting With Sudden Hearing Loss [J].

Chen, Hsuan-Ho ;

Chen, Chin-Kuo .

JOURNAL OF THE CHINESE MEDICAL ASSOCIATION, 2010, 73 (06) :338-340

[6] Intracranial arachnoid cysts: Current concepts and treatment alternatives [J].

Cincu, Rafael ;

Agrawal, Amit ;

Eiras, Jose .

CLINICAL NEUROLOGY AND NEUROSURGERY, 2007, 109 (10) :837-843

[7] DIAGNOSIS AND TREATMENT OF ARACHNOID CYSTS OF THE POSTERIOR-FOSSA [J].

HABERKAMP, TJ ;

MONSELL, EM ;

HOUSE, WF ;

LEVINE, SC ;

PIAZZA, L .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1990, 103 (04) :610-614

[8] Simultaneous Middle Fossa Arachnoid Cyst and Ambient Cistern Epidermoid Cyst: Case Report and Endoscope-Assisted Microsurgical Management [J].

Kasliwal, Manish K. ;

Fraser, Justin F. ;

Greenfield, Jeffrey P. ;

Schwartz, Theodore H. .

PEDIATRIC NEUROSURGERY, 2010, 46 (02) :151-154

[9] Posterior fossa arachnoid cysts can mimic Meniere's disease [J].

O'Reilly, RC ;

Hallinan, EK .

AMERICAN JOURNAL OF OTOLARYNGOLOGY, 2003, 24 (06) :420-425

[10] Posterior fossa arachnoid cyst presenting with isolated sensorineural hearing loss [J].

Thinakara-Rajan, T. ;

Janjua, A. ;

Srinivasan, V. .

JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2006, 120 (11) :979-982

← 1 →