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
收藏
页码：361 / 365
页数：5
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