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Prepontine arachnoid cyst presenting with headache and diplopia: A case report study
Omidvar Rezaee1, Kaveh Ebrahimzadeh1, Ehsan Nazari Maloumeh1
1Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Surgical Neurology International
|December 30, 2017
Summary
This study presents a rare prepontine arachnoid cyst case. Endoscopic endonasal fenestration offered a safe and effective surgical option for this patient.
Area of Science:
- Neurosurgery
- Cranial Surgery
- Minimally Invasive Procedures
Background:
- Arachnoid cysts are cerebrospinal fluid-filled sacs, commonly found in the middle cranial fossa.
- Prepontine arachnoid cysts are exceptionally rare, posing diagnostic and therapeutic challenges.
Observation:
- A 26-year-old female presented with headache, diplopia, and sixth cranial nerve palsy.
- MRI revealed a prepontine arachnoid cyst extending into the interpeduncular and suprasellar cisterns.
- CT scan excluded hydrocephalus.
Findings:
- Surgical treatment involved endoscopic fenestration via an endonasal transsphenoidal approach.
- The cyst was successfully fenestrated into the prepontine, interpeduncular, and suprasellar cisterns.
- This minimally invasive technique achieved cyst decompression.
Implications:
- Endoscopic endonasal fenestration is a potentially safe and effective treatment for prepontine arachnoid cysts with suprasellar extension.
- This approach may be less invasive than traditional transcranial surgeries.
- Further research can validate this technique for similar rare cranial base pathologies.
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