Unusual arachnoid cyst of the quadrigeminal cistern in an adult presenting with apneic spells and normal pressure hydrocephalus--case report

Neurologia Medico-chirurgica
Cahide TopsakalIbrahim Ozercan

Abstract

A 67-year-old woman was admitted to our clinic with symptoms of normal pressure hydrocephalus, lower cranial nerve pareses, and pyramidal and cerebellar signs associated with respiratory disturbances. Computed tomography (CT) and magnetic resonance imaging revealed a 4.7 x 5.4 cm quadrigeminal arachnoid cyst causing severe compression of the tectum and entire brain stem, aqueduct, and cerebellum, associated with moderate dilation of the third and lateral ventricles. Emergency surgery was undertaken due to sudden loss of consciousness and impaired breathing. The cyst was totally removed by midline suboccipital craniotomy in the prone position. Postoperatively, her symptoms improved except for the ataxia and impaired breathing. She was monitored cautiously for over 15 days. CT at discharge on the 18th postoperative day revealed decreased cyst size to 3.9 x 4.1 cm. Histological examination confirmed the diagnosis of the arachnoid cyst of the quadrigeminal cistern. The patient died of respiratory problems on the 5th day after discharge. Quadrigeminal arachnoid cysts may compress the brain stem and cause severe respiratory disturbances, which can be fatal due to apneic spells. Patients should be monitored continuously in the preoper...Continue Reading

References

Feb 1, 1976·Neurology·J M GrollmusT H Newton
Jun 1, 1975·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·J Danziger, S Bloch
Jan 1, 1991·Acta neurochirurgica. Supplementum·J BrotchiJ Noterman
Sep 1, 1991·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·I Pascual-CastroviejoM García Blázquez
Jul 1, 1986·Surgical Neurology·S WakisakaS Matsuoka
Aug 1, 1985·Journal of Neurosurgery·E GalassiG Gaist
Sep 1, 1973·Journal of Neurosurgery·J R LittleC S MacCarty
Dec 1, 1965·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·E Kruyff
Mar 1, 1970·Journal of Neurosurgery·M S HuckmanW S Coxe
Jan 1, 1983·Acta neurochirurgica·J M CilluffoR H Miller
Feb 19, 1998·American Journal of Ophthalmology·K OhtsukaY Nakamura
Jul 1, 1958·Journal of Neuropathology and Experimental Neurology·S P STARKMANE A LINELL
Nov 1, 1961·Journal of Neurology, Neurosurgery, and Psychiatry·H LOURIE, A S BERNE
Jul 1, 1952·Journal of Neurosurgery·W V TROWBRIDGE, J D FRENCH

❮ Previous
Next ❯

Citations

Oct 21, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Y KusakaM Samii
Dec 17, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yusuf Erşahin, Hande Kesikçi
Aug 27, 2009·Neurologia Medico-chirurgica·Satoshi TsutsumiMasanori Ito
Sep 13, 2014·British Journal of Neurosurgery·Kanwaljeet GargBhawani Shankar Sharma
Apr 12, 2015·Neurocirugía·Bienvenido Ros LópezSara Iglesias Moroño
Oct 25, 2008·Arquivos de neuro-psiquiatria·João Paulo C de AlmeidaHildo Azevedo-Filho
Mar 9, 2006·Acta neurochirurgica·V KumarI R Whittle

❮ Previous
Next ❯

Related Concepts

Related Feeds

Ataxias

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on different types of ataxias here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.