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SPECT/CT Detection of a Communicating Arachnoid Cyst in a Patient With Normal Pressure Hydrocephalus. Clin Nucl Med 2017 Jul;42(7):555-557

Date

05/10/2017

Pubmed ID

28481794

DOI

10.1097/RLU.0000000000001685

Scopus ID

2-s2.0-85039786628 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

A 59-year-old man with history of multiple sclerosis and residual sensory and motor dysfunction presented with progressive lower-extremity weakness, ataxic gait, and intermittent urinary incontinence. Brain MRI demonstrated volume loss with disproportionate ventricular dilatation, but no evidence of infarction or abnormal enhancement. Radionuclide cisternography showed early and persistent ventricular reflux, poor progression of radiopharmaceutical over convexities, and delayed clearance in a pattern consistent with normal pressure hydrocephalus. Asymmetric activity in the right parietal region was also identified. Fused SPECT/CT, as well as fusion of the SPECT with a previous brain MRI, demonstrated a communicating arachnoidal cyst.

Author List

Walker L, Gholamrezanezhad A, Bucklan D, Faulhaber PF, O'Donnell JK

Author

Daniel Bucklan MD Assistant Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Arachnoid Cysts
Disease Progression
Humans
Hydrocephalus, Normal Pressure
Magnetic Resonance Imaging
Male
Middle Aged
Single Photon Emission Computed Tomography Computed Tomography