Journal of Spine & NeurosurgeryISSN: 2325-9701

Case Report, J Spine Neurosurg Vol: 4 Issue: 2

Rapidly Progressing Brainstem Compression Due to a Giant Posterior Fossa Arachnoid Cyst

Cihan Isler*, Abdurrahim Tas, Yucel Hitay, Azmi Tufan and Feyza Karagoz Guzey
Department of Neurosurgery, Bagcilar Training and Research Hospital, Istanbul, Turkey
Corresponding author : Cihan Isler
Department of Neurosurgery, Bagcilar Training and Research Hospital, Istanbul, Turkey
Tel: 90-532-7791482; Fax: 90-212-5312617;
E-mail:
[email protected]
Received: September 09, 2014 Accepted: November 17, 2014 Published: November 21, 2014
Citation: Isler C, Tas A, Hitay Y, Tufan A, Guzey FK (2014) Rapidly Progressing Brainstem Compression Due to a Giant Posterior Fossa Arachnoid Cyst. J Spine Neurosurg 4:2 doi:10.4172/2325-9701.1000178

Abstract

Rapidly Progressing Brainstem Compression Due to a Giant Posterior Fossa Arachnoid Cyst

Case Presentation: A 28 years old woman with lethargy, disorientation, nausea and vomiting was sent to our emergency department (ED) from a state hospital. A cervical magnetic resonance imaging (MRI) was taken there and it revealed a large cystic mass in the posterior fossa causing tonsillar herniation and fourth ventricle compression. A head computerized tomography (CT) with contrast was taken at ED and she was admitted to the neurosurgery ward for further investigation and operation. Within a few hours she was lost her consciousness and developed respiratory arrest. She was taken to operating room emergently and cyst wall fenestration was performed under microscope. During 1 year follow-up she recovered fully in terms of neurological examination.

Keywords: Arachnoid cyst; Posterior fossa; Cyst fenestration

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