Giant suprasellar arachnoid cyst presenting with precocious puberty

Rao, Kavya; Levy, Michael L.; Crawford, John R.

doi:10.1136/bcr-2014-205750

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Symptomatic presentations may occur, including convulsions, abnormal behavior, and cognitive impairment [ 9 ]. Endocrinopathies also have been reported [ 10 ]; our patient presented with status epilepticus without any evidence of visual disturbance or endocrinopathy; his family denied any abnormal behavior prior to the seizures.…”

Section: Discussionmentioning

confidence: 83%

“…As for the patients with symptoms, the treatment is surgical via cyst fenestration either by endoscopy or craniotomy [11]; surgical intervention should be reserved for those AC in which their size impacts their surroundings, whether it be via compression of neural structures, formations of hydrocephalus or symptomatic refractory presentations [4]. However, it has been reported that some patients were managed with medical treatment without the need to resort to surgical intervention [10]; our patient presented with frequent convulsions with CT finding of a large AC on imaging, so he was treated surgically via craniotomy due to the mass effect of the AC.…”

Section: Discussionmentioning

confidence: 99%

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Arachnoid Cyst: A Sudden Deterioration

Fadul¹,

Ali²,

Abdelrahman³

et al. 2023

Cureus

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Arachnoid cysts are relatively rare and usually asymptomatic. It can only be diagnosed through radiological imaging modalities. Some patients may develop symptoms such as seizures, headache, dizziness, or psychiatric symptoms.We present a case of a 25-year-old male, previously healthy, who presented with sudden, repetitive episodes of seizure without regaining his consciousness. Computed tomography (CT) head scan showed a large cystic lesion that showed a rightward midline shift. Treatment was done surgically via endoscopic fenestration, and the patient remained symptom-free for one year. Most arachnoid cysts tend to remain asymptomatic throughout a patient's life span, allowing them to lead everyday normal lives; however, when these symptoms surface, they tend to be of a sudden nature requiring urgent surgical intervention. Our report follows the case of a young patient whose symptoms appear suddenly with triggers that led to status epilepticus. Our patient continued to suffer from multiple seizure attacks despite being on multiple anticonvulsive medications, and his symptoms eventually subsided via surgical intervention.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Arachnoid Cyst: A Sudden Deterioration

Fadul¹,

Ali²,

Abdelrahman³

et al. 2023

Cureus

View full text Add to dashboard Cite

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“…They concluded that suprasellar arachnoid cysts may present with endocrinopathies months to years prior to development of visual symptoms. [ 23 ]…”

Section: Discussionmentioning

confidence: 99%

Prepontine arachnoid cyst presenting with headache and diplopia: A case report study

et al. 2017

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Background:Arachnoid cysts are found everywhere in cerebrospinal axis, most often in the middle cranial fossa. They are very rare in prepontine location.Case Description:In this study, we report a 26-year-old female presenting with a 3-month history of headache and diplopia. On physical examination, she had clinical manifestations of sixth cranial nerve palsy. Magnetic resonance imaging revealed a prepontine arachnoid cyst with extension into interpeduncular and suprasellar cisterns. Computed tomography scan demonstrated no evidence of hydrocephalus. The patient was treated surgically by endoscopic fenestration of the cyst with endonasal transsphenoidal approach. The cyst was opened to prepontine, interpeduncular, and suprasellar cisterns.Conclusion:Endoscopic endonasal fenestration of the cyst to adjacent cistern may be safe in prepontine arachnoid cysts with sellar and suprasellar extension; it may be effective and less invasive compare to transcranial approach.

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A good choice for the patients with prior failed ventriculoperitoneal shunt treatment of suprasellar arachnoid cysts: endoscopic fenestration

Zhang

et al. 2019

Neurosurg Rev

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Giant suprasellar arachnoid cyst presenting with precocious puberty

Cited by 4 publications

References 3 publications

Arachnoid Cyst: A Sudden Deterioration

Arachnoid Cyst: A Sudden Deterioration

Prepontine arachnoid cyst presenting with headache and diplopia: A case report study

A good choice for the patients with prior failed ventriculoperitoneal shunt treatment of suprasellar arachnoid cysts: endoscopic fenestration

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