PMID: 1764711Oct 1, 1991

Benign cyst of the paramedian pontine tegmentum

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
J ParízekZ Vanásková

Abstract

A benign ovoid cyst, without an epithelial lining, localized in the paramedian pontine tegmentum, was examined by computed tomography (CT) and magnetic resonance imaging (MRI) (25 x 15 x 15 mm) and successfully operated upon. The one-and-a-half syndrome (horizontal gaze palsy to the right and paralysis of adduction of the right eye) and ipsilateral "peripheral" VII nerve palsy dominated the clinical picture. Fenestration, 5 mm in diameter, of the cyst wall through the floor of the IV ventricle was performed and 2.6 ml of clear, colorless fluid was evacuated. Inspection of the cyst, using the operating microscope, revealed a smooth, white, glistening cavity with no evidence of other pathological tissue. Duraplasty was performed with allogenic pericardium. Neurological symptoms improved immediately after surgery. Light and electron microscopy of the cyst wall revealed a fibrillar astroglial network and fragments of ependyma at the ventricular side of the biopsy.

Citations

Feb 1, 1989·Journal of Neurosurgery·C D AbernatheyP J Kelly
Nov 1, 1988·Surgical Neurology·S KameyamaH Kaneko
Jul 1, 1988·Journal of Neurology, Neurosurgery, and Psychiatry·J R Mangiardi, F J Epstein
Dec 1, 1988·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·A Hirano, M Hirano
Dec 1, 1988·Journal of Neurology, Neurosurgery, and Psychiatry·T HattoriS Kojima
Mar 1, 1988·Journal of Neurosurgery·R H Wilkins, P C Burger
Jul 1, 1987·Journal of Computer Assisted Tomography·Y NumaguchiA Mizushima
Dec 1, 1974·Archives of Neurology·C M Shaw, E C Alvord
Nov 1, 1974·Journal of Neurosurgery·R H MortaraW H Brooks
Jul 1, 1974·Journal of Neurosurgery·N R GhatakH M Zimmerman
Oct 1, 1967·Journal of Neurology, Neurosurgery, and Psychiatry·C M Fisher
Jan 1, 1984·Acta Neuropathologica·A HoriR Ulbrich
Jan 1, 1983·Archives of Neurology·M A PollackB Fish
Feb 1, 1981·Journal of Immunogenetics·B S Wilson, S Ferrone
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Jan 1, 1981·Child's Brain·B Rilliet, J Berney
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Related Concepts

Horizontal Gaze Palsy
Neurologic Manifestations
Structure of Tegmental Portion of Pons
Magnetic Resonance Imaging
Pericardial Sac Structure
Cyst Benign
X-Ray Computed Tomography
Pontine Structure
Body Cavities
Right Eye

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