TITLE:
Giant Intracranial Arachnoid Cyst Causing Acute Neurologic Symptoms
AUTHORS:
Youssouf Sogoba, Boubacar Sogoba, Seybou Hassane Diallo, Drissa Kanikomo, Djenè Kourouma, Oumar Coulibaly, Issa Amadou, Moustapha Mangané, Hamidou Almeimoune, Madani Thierno Diop, Youssoufa Maiga, Broulaye Samaké, Djibo M. Diango
KEYWORDS:
Arachnoid Cyst, Neuroendoscopy, Microsurgical Fenestration
JOURNAL NAME:
World Journal of Neuroscience,
Vol.8 No.3,
August
14,
2018
ABSTRACT: Intracranial
arachnoid cysts (IAC) are benign lesions containing cerebrospinal fluid (CSF).
Most of them are clinically silent and remain static in size. However some may
present with mild and slow progressive symptoms caused by the cyst. The authors
present the case of 54-year-old woman who presented with acute symptoms of
severe headache, vomiting, and gait disturbance of 2 day’s duration. She had no
history of head trauma. On admission, neurological examination revealed that
the patient had a Glasgow Coma Scale score of 15, and a left side hemiplegia. A
CT scan revealed a hypodense fluid collection in the right frontoparietal
region that mimicked an arachnoid cyst. The symptoms were improved after an
emergency marsupialisation via craniotomy.