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Panigrahi S, Mishra SS, Das S, et al. Large intradural craniospinal arachnoid cyst: A case report and review of literature. J Craniovertebr Junction Spine. 2012;3(1):16-8doi: 10.4103/0974-8237.110119.
Panigrahi, S., Mishra, S. S., Das, S., Patra, S. K., & Satpathy, P. C. (2012). Large intradural craniospinal arachnoid cyst: A case report and review of literature. Journal of craniovertebral junction & spine, 3(1), 16-8. https://doi.org/10.4103/0974-8237.110119
Panigrahi, Souvagya, et al. "Large intradural craniospinal arachnoid cyst: A case report and review of literature." Journal of craniovertebral junction & spine vol. 3,1 (2012): 16-8. doi: https://doi.org/10.4103/0974-8237.110119
Panigrahi S, Mishra SS, Das S, Patra SK, Satpathy PC. Large intradural craniospinal arachnoid cyst: A case report and review of literature. J Craniovertebr Junction Spine. 2012 Jan;3(1):16-8. doi: 10.4103/0974-8237.110119. PMID: 23741124; PMCID: PMC3669468.
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J Craniovertebr Junction Spine. 2012 Jan;3(1):16-8. doi: 10.4103/0974-8237.110119.

Large intradural craniospinal arachnoid cyst: A case report and review of literature.

Journal of craniovertebral junction & spine

Souvagya Panigrahi, Sudhansu Sekhar Mishra, Srikant Das, Sunil Kumar Patra, Pratap Chandra Satpathy

Affiliations

  1. Department of Neurosurgery, S.C.B. Medical College and Hospital, Cuttack, Orissa, India.

PMID: 23741124 PMCID: PMC3669468 DOI: 10.4103/0974-8237.110119

Abstract

Presence of an arachnoid cyst at craniospinal junction is not very common. This is a very rare anatomic site, with only seven other cases reported in the literature. We report a case of large intradural craniospinal arachnoid cyst presenting with obstructive hydrocephalus and cranial nerve palsy. A 39-year-old male presented with 8-month history of neck pain, headache, vomiting, visual disturbances, diminished taste sensation, and numbness of face. He had bilateral papilledema on ophthalmoscopy. Magnetic resonance imaging (MRI) revealed a posterior fossa arachnoid cyst extending down to the lower border of C5 vertebra. Posterior decompression was done through C5 laminectomy. He made a full recovery and was asymptomatic at 6-month follow-up examination. The clinical features, diagnosis, and management of these rare craniospinal arachnoid cysts are discussed.

Keywords: Cranial nerve palsy; craniospinal junction; hydrocephalus; large arachnoid cyst

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