PMID: 8607073Feb 1, 1996Paper

Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: case report

Surgical Neurology
C W WongL L WU

Abstract

A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.

References

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Jul 1, 1986·Neurochirurgia·R SpazianteL Stella
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Sep 18, 2013·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Min-Kyun KimBum-soo Kim

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Citations

Dec 17, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yusuf Erşahin, Hande Kesikçi
Sep 10, 2013·Journal of Neurosurgery. Pediatrics·Nasser M F El-Ghandour
Sep 6, 2014·Journal of Neurosurgery. Pediatrics·Nasser M F El-Ghandour

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