A refractory arachnoid cyst presenting with tremor, expressive dysphasia, and cognitive decline. Surg Neurol Int 2016;7(Suppl 15):S431-3
Date
06/17/2016Pubmed ID
27308091Pubmed Central ID
PMC4901817DOI
10.4103/2152-7806.183541Scopus ID
2-s2.0-84986260213 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
BACKGROUND: Arachnoid cysts are common incidental findings on intracranial imaging, although they are rarely symptomatic.
CASE DESCRIPTION: We present a case of a 49 year-old woman with a recurrent left supraorbital arachnoid cyst who developed staring spells, expressive dysphasia, and tremor after cyst fenestration and cystoperitoneal shunting. Her symptoms resolved after removing the shunt valve and creating a valveless system. The case is discussed and the literature reviewed.
CONCLUSION: We present a case of a recurrent arachnoid cyst that developed worsening and new symptoms after cysto-peritoneal shunting with a programmable valve, which reducing the pressure in the cyst resulted in remarkable resolution of her symptoms.
