Intradiploic Arachnoid Cyst with Extensive Deformation of Craniofacial Osseous Structures: Case Report

Krupp, Wolfgang; Döhnert, J; Kellermann, S.; Seifer, Volker

doi:10.1097/00006123-199904000-00105

Cited by 15 publications

(13 citation statements)

References 9 publications

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“…A literature search revealed reports of 5 such cases involving the cranial vault as well as a small series of 5 cases all involving the basiocciput. 1,2,4,6,9,22 We report on a young boy with a spinal intraosseous cystic lesion containing CSF that manifested 14 years after a Chiari decompression. …”

mentioning

confidence: 99%

Transosseous cerebrospinal fluid fistula 14 years after Chiari decompression: presentation and management

Gandhoke¹,

Hauptman²,

Salvetti³

et al. 2015

PED

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The authors report a unique case of a transosseous CSF fistula that was detected more than 10 years after treatment of a symptomatic Chiari I malformation. This lesion initially presented as an intraosseous cystic lesion involving the C-2 vertebra, which was found to communicate freely with the subarachnoid space through a tiny dural opening. Surgical management involved hemilaminectomy and repair of the dural defect followed by reinforcement of the bony defect with demineralized bone matrix. Following closure of the fistula, symptoms of elevated intracranial pressure developed, necessitating a ventriculoperitoneal shunt for CSF diversion.

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mentioning

confidence: 99%

Transosseous cerebrospinal fluid fistula 14 years after Chiari decompression: presentation and management

Gandhoke¹,

Hauptman²,

Salvetti³

et al. 2015

PED

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“…8,10,11,15) In our patient, all lesions except epidermoid cyst could be excluded based on the cystic appearance of the lesion and the absence of growth. The characteristic radiological findings of the intradiploic epidermoid cyst are well-demarcated osteolysis, high signal intensity on T 2 -weighted images, and varied signal intensity on T 1 -weighted images.…”

Section: Discussionmentioning

confidence: 84%

“…4) However, only 12 patients with IAC without past history of head injury have been reported. 1,3,4,8,10,15) This disease is characterized by multiple, parasagittal, well-demarcated osteolytic lesions on radiological examination, commonly located in the suboccipital region of the elderly. 3) These characteristics were quite similar to those of the diploic lesion in our case.…”

Section: Discussionmentioning

confidence: 99%

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Intradiploic Arachnoid Cyst Identified by Diffusion-Weighted Magnetic Resonance Imaging. Case Report.

Yamaguchi

Hirohata

Sumida

et al. 2002

Neurol. Med. Chir.(Tokyo)

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A 72-year-old woman presented with an intradiploic arachnoid cyst in the occipital intradiploic space which was found incidentally by magnetic resonance (MR) imaging. Computed tomography revealed a widened diploic space and thinning of the inner and outer tables of the occipital bone. The cyst appeared as isointense to the cerebrospinal fluid on both T 1 -and T 2 -weighted images. The differential diagnosis of intradiploic epidermoid cyst could be excluded because the lesion was low intensity on diffusion-weighted MR images. Arachnoid cyst is a benign lesion, so exploratory surgery should be avoided unless the cyst is symptomatic. Diffusion-weighted MR imaging is an effective modality to distinguish diploic epidermoid cysts from arachnoid cysts.

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“…Arachnoid cysts that enlarge may become symptomatic if they compress adjacent neural structures or interfere with CSF circulation. 7 The most common symptom of a middle cranial fossa arachnoid cyst is headache, 2,11 followed by proptosis, contralateral motor weakness, and seizures. 9,10 Suprasellar arachnoid cysts may cause obstructive hydrocephalus, visual impairment, and endocrine dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic infarction following open fenestration of a large intracranial arachnoid cyst in a pediatric patient

Auschwitz

DeCuypere

Khan

et al. 2015

PED

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Intracranial arachnoid cysts are a rare condition thought to be congenital in nature. Treatment of intracranial arachnoid cysts remains controversial based on their variable presentation. Treatment options include CSF shunting, endoscopic fenestration, or craniotomy and open fenestration for larger cysts. The complications of these procedures can include hydrocephalus, subdural hematomas, hygromas, and—more rarely—intraparenchymal hemorrhage. The authors found very few reports of hemorrhagic infarction as a complication of arachnoid cyst fenestration in the literature. The authors report a case of an 18-year-old female patient who suffered an ipsilateral hemorrhagic infarction after craniotomy for open fenestration of an arachnoid cyst.

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Intradiploic Arachnoid Cyst with Extensive Deformation of Craniofacial Osseous Structures: Case Report

Abstract: The medical history of the patient and the intraoperative observations support the contention that the cyst in the reported case was congenital in origin. The features concerned with diagnosis and pathogenesis of this rare entity are discussed.

Cited by 15 publications

References 9 publications

Transosseous cerebrospinal fluid fistula 14 years after Chiari decompression: presentation and management

Transosseous cerebrospinal fluid fistula 14 years after Chiari decompression: presentation and management

Intradiploic Arachnoid Cyst Identified by Diffusion-Weighted Magnetic Resonance Imaging. Case Report.

Hemorrhagic infarction following open fenestration of a large intracranial arachnoid cyst in a pediatric patient

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