Huge arachnoid cyst of the occipital cerebral convexity - Case report

被引：4

作者：

Tucker, Adam

Miyake, Hiroji

Omura, Takehisa

Tsuji, Masao

Ukita, Tohru

Nishihara, Kentaro

Oi, Shizuo

机构：

[1] Nishinomiya Kyoritsu Neurosurg Hosp, Dept Neurosurg, Nishinomiya, Hyogo 6638211, Japan

[2] Jikei Univ, Sch Med, Dept Neurosurg, Div Pediat Neurosurg, Tokyo, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2006年 / 46卷 / 07期

关键词：

arachnoid cyst; porencephaly; cystography; corticotomy; ventriculostomy;

D O I：

10.2176/nmc.46.361

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：361 / 365

页数：5

共 24 条

[1] Arachnoid cyst rupture producing subdural hygroma and intracranial hypertension: Case reports [J].