Arachnoid Cyst in the Middle Cranial Fossa Presenting with Pulsatile Exophthalmos: Case Report and Literature Review

A 20-year-old woman suffered gradual progression of right pulsatile exophthalmos and slight headache. Computed tomography (CT) demonstrated outward and downward displacement of the right globe and an arachnoid cyst in the right middle cranial fossa associated with thinned and anterior protrusion of...

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Autores principales: SAITO, Atsushi, KON, Hiroyuki, HARYU, Shinya, MINO, Masaki, SASAKI, Tatsuya, NISHIJIMA, Michiharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533464/
https://www.ncbi.nlm.nih.gov/pubmed/24305013
http://dx.doi.org/10.2176/nmc.cr.2013-0018
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author SAITO, Atsushi
KON, Hiroyuki
HARYU, Shinya
MINO, Masaki
SASAKI, Tatsuya
NISHIJIMA, Michiharu
author_facet SAITO, Atsushi
KON, Hiroyuki
HARYU, Shinya
MINO, Masaki
SASAKI, Tatsuya
NISHIJIMA, Michiharu
author_sort SAITO, Atsushi
collection PubMed
description A 20-year-old woman suffered gradual progression of right pulsatile exophthalmos and slight headache. Computed tomography (CT) demonstrated outward and downward displacement of the right globe and an arachnoid cyst in the right middle cranial fossa associated with thinned and anterior protrusion of a bony orbit. Microscopic cystocisternotomy was performed and the cerebrospinal fluid (CSF) inside of the cyst communicated into the carotid cistern and cistern in the posterior cranial fossa. Pulsatile exophthalmos improved immediately after surgery. Arachnoid cyst in the middle cranial fossa presenting with exophthalmos is rare. Microscopic cystocisternotomy might successfully improve CSF flow and relieve exophthalmos.
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spelling pubmed-45334642015-11-05 Arachnoid Cyst in the Middle Cranial Fossa Presenting with Pulsatile Exophthalmos: Case Report and Literature Review SAITO, Atsushi KON, Hiroyuki HARYU, Shinya MINO, Masaki SASAKI, Tatsuya NISHIJIMA, Michiharu Neurol Med Chir (Tokyo) Case Report A 20-year-old woman suffered gradual progression of right pulsatile exophthalmos and slight headache. Computed tomography (CT) demonstrated outward and downward displacement of the right globe and an arachnoid cyst in the right middle cranial fossa associated with thinned and anterior protrusion of a bony orbit. Microscopic cystocisternotomy was performed and the cerebrospinal fluid (CSF) inside of the cyst communicated into the carotid cistern and cistern in the posterior cranial fossa. Pulsatile exophthalmos improved immediately after surgery. Arachnoid cyst in the middle cranial fossa presenting with exophthalmos is rare. Microscopic cystocisternotomy might successfully improve CSF flow and relieve exophthalmos. The Japan Neurosurgical Society 2014-07 2013-12-05 /pmc/articles/PMC4533464/ /pubmed/24305013 http://dx.doi.org/10.2176/nmc.cr.2013-0018 Text en © 2014 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
SAITO, Atsushi
KON, Hiroyuki
HARYU, Shinya
MINO, Masaki
SASAKI, Tatsuya
NISHIJIMA, Michiharu
Arachnoid Cyst in the Middle Cranial Fossa Presenting with Pulsatile Exophthalmos: Case Report and Literature Review
title Arachnoid Cyst in the Middle Cranial Fossa Presenting with Pulsatile Exophthalmos: Case Report and Literature Review
title_full Arachnoid Cyst in the Middle Cranial Fossa Presenting with Pulsatile Exophthalmos: Case Report and Literature Review
title_fullStr Arachnoid Cyst in the Middle Cranial Fossa Presenting with Pulsatile Exophthalmos: Case Report and Literature Review
title_full_unstemmed Arachnoid Cyst in the Middle Cranial Fossa Presenting with Pulsatile Exophthalmos: Case Report and Literature Review
title_short Arachnoid Cyst in the Middle Cranial Fossa Presenting with Pulsatile Exophthalmos: Case Report and Literature Review
title_sort arachnoid cyst in the middle cranial fossa presenting with pulsatile exophthalmos: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533464/
https://www.ncbi.nlm.nih.gov/pubmed/24305013
http://dx.doi.org/10.2176/nmc.cr.2013-0018
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