Rare association of central pontine myelinolysis with intrasellar arachnoidocele - casual or correlated?

Jaouad, Mohamed Reda Cherkaoui; Amrani, C.; Mahi, M.; Bouknani, N.

doi:10.1016/j.radcr.2022.06.095

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2023

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“…This complicates management as in the case described by Cherkaoui and al. 16 The diagnosis of arachnoidocele is radiological. Brain MRI is the gold standard.…”

Section: Discussionmentioning

confidence: 99%

Management of intrasellar arachnoidocele

Diallo Moussa,

Tokpa André Valentin,

Traoré

et al. 2023

Pak J Neurol Surg

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Arachnoidocele in its sellar location is not common. The variability of its clinical signs and the lack of standard treatment make the management complex. The authors report a clinical case through which therapeutic modalities will be discussed. We report a case of a 42-year-old patient who complained of intermittent headaches of progressively increasing intensity over the past 2 years. The persistence of the headaches despite analgesic treatment had motivated the performance of a brain CT scan and then an MRI which had objectified the presence of an intrastellararachnoidocele. The endocrine laboratory function was normal. Short-term treatment with morphine and corticosteroids had achieved a rapid and long-lasting course after a 2-year follow-up. Endoscopic surgery is a treatment option for sellar arachnoidocele. The indication must take into account the clinical and radiological elements because some sellar arachnoidocele evolve favorably under drug treatment.

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“…This complicates management as in the case described by Cherkaoui and al. 16 The diagnosis of arachnoidocele is radiological. Brain MRI is the gold standard.…”

Section: Discussionmentioning

confidence: 99%