Symptomatic Fourth Ventricle Arachnoid Cyst Extending to the Upper Border of the Dens of the Axis: A Case Report and Review of the Literature

Abstract Arachnoid cysts are congenital and non-tumorous intra-arachnoid fluid accumulations that make up about 1% of all intracranial space. occupying lesions. We report a patient with a fourth ventricle arachnoid cyst extending to the upper border of the dens of the axis. This patient progressively developed walking difficulty and stiffness in his legs together with difficulty in grasping objects with his hands within one year. The cyst was totally excised and the patient's symptoms improved in the early postoperative period, but he developed intraventricular and intracisternal air which was followed-up conservatively and resolved spontaneously

[1]  I. Khan,et al.  Craniocervical arachnoid cyst in a patient with Klippel-Feil syndrome: a unique case: case report. , 2013, Journal of neurosurgery. Spine.

[2]  K. Muraszko,et al.  Prevalence and natural history of arachnoid cysts in adults. , 2010, Journal of neurosurgery.

[3]  K. Sugiyama,et al.  Disproportionately large communicating fourth ventricle associated with syringomyelia and intradural arachnoid cyst in the spinal cord successfully treated with additional shunting. Case report. , 2012, Neurologia medico-chirurgica.

[4]  S. Boujraf,et al.  Arachnoid cyst of the posterior fossa. , 2010, Neurosciences.

[5]  J. Weinstein,et al.  Arachnoid cyst causing third cranial nerve palsy manifesting as isolated internal ophthalmoplegia and iris cholinergic supersensitivity. , 2008, Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society.

[6]  A. Goel,et al.  Fourth ventricle arachnoid cyst , 2008, Journal of Clinical Neuroscience.

[7]  M. Boutarbouch,et al.  Management of intracranial arachnoid cysts: Institutional experience with initial 32 cases and review of the literature , 2008, Clinical Neurology and Neurosurgery.

[8]  A. Agrawal,et al.  Intracranial arachnoid cysts: Current concepts and treatment alternatives , 2007, Clinical Neurology and Neurosurgery.

[9]  J. Oghalai,et al.  Peripetrosal arachnoid cysts , 2007, Current opinion in otolaryngology & head and neck surgery.

[10]  M. Kutlay,et al.  Craniocervical junction arachnoid cyst causing hydrocephalus: case report and review of the literature. , 2007, Military medicine.

[11]  S. Çakirer.  Arachnoid cyst of the craniospinal junction: a case report and review of the literature , 2004, Acta radiologica.

[12]  J. Sola,et al.  Congenital arachnoid cyst of the lateral ventricles in children , 1992, Child's Nervous System.

[13]  O. Acar,et al.  Arachnoid cyst within the fourth ventricle: a case report , 2003, Clinical Neurology and Neurosurgery.

[14]  C. Çokluk,et al.  Spontaneous disappearance of two asymptomatic arachnoid cysts in two different locations. , 2003, Minimally invasive neurosurgery : MIN.

[15]  S. Nomura,et al.  Endoscopic fenestration of posterior fossa arachnoid cyst for the treatment of presyrinx myelopathy--case report. , 2002, Neurologia medico-chirurgica.

[16]  S. Price,et al.  Arachnoid Cyst of the Craniocervical Junction: Case Report , 2001, Neurosurgery.

[17]  D. Kondziolka,et al.  Successful management of sellar and suprasellar arachnoid cysts with stereotactic intracavitary irradiation: an expanded report of four cases. , 2000, Neurosurgery.

[18]  S. Şirin,et al.  Presentation and management of supratentorial and infratentorial arachnoid cysts. Review of 25 cases. , 1999, Journal of neurosurgical sciences.

[19]  A. Sharma,et al.  Posterior fossa arachnoid cyst presenting as high cervical cord compression. , 1998, British journal of neurosurgery.

[20]  H. Schroeder,et al.  Neuroendoscopic approach to arachnoid cysts. , 1996, Journal of neurosurgery.

[21]  T. Hayakawa,et al.  Craniospinal arachnoid cyst: case report. , 1996, No shinkei geka. Neurological surgery.

[22]  B. Radotra,et al.  Craniospinal intradural arachnoid cyst. , 1992, Postgraduate medical journal.

[23]  T. Onomura,et al.  [An intradural arachnoid cyst of the craniovertebral junction; a case report]. , 1991, No shinkei geka. Neurological surgery.

[24]  H. Mori,et al.  [Multiple intracerebral hemorrhages immediately after surgical excision of middle fossa arachnoid cysts and evacuation of chronic subdural hygroma. Case report]. , 1989, Neurologia medico-chirurgica.

[25]  L. Heier,et al.  Clinical and magnetic resonance features of primary intracranial arachnoid cysts , 1987, Annals of neurology.

[26]  N. Tamaki,et al.  Arachnoid cyst of the fourth ventricle manifesting normal pressure hydrocephalus. , 1983, Neurosurgery.

[27]  G. Gaist,et al.  CT scan and metrizamide CT cisternography in arachnoid cysts of the middle cranial fossa: classification and pathophysiological aspects. , 1982, Surgical neurology.

[28]  M. Carey,et al.  Arachnoid cyst and associated subdural hematoma. Observations on conventional roentgenographic and computerized tomographic diagnosis. , 1978, Archives of neurology.

[29]  B. W. Robinson,et al.  Arachnoid cysts of the middle cranial fossa: surgical considerations. , 1978, Surgical neurology.

[30]  J. Aicardi,et al.  Supratentorial extracerebral cysts in infants and children. , 1975, Journal of neurology, neurosurgery, and psychiatry.