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Stereotactic decompression of a prepontine arachnoid cyst with resolution of precocious puberty
T A Sweasey1, J L Venes, T W Hood
1University of Michigan Hospitals, Section of Neurosurgery, Ann Arbor.
Abstract:
A case of a prepontine (clival) arachnoid cyst is reported. The patient presented with isosexual precocious puberty. Treatment was initially with fenestration by suboccipital craniectomy, however, definitive treatment was via stereotactic transfrontal placement of a cystoperitoneal shunt. Normalization of endocrine function has occurred and has persisted for 1 year. This case is presented as a contrast to the two approaches for the treatment of arachnoid cysts. The case will be described and the literature reviewed.