Arachnoid cyst (huge)

Case contributed by A.Prof Frank Gaillard

Presentation

Asymptomatic.

Patient Data

Age: 55
Gender: Male
MRI

A large left-sided arachnoid cyst measuring 5.3 x 4.3 x 10.5 cm extends from the left middle cranial fossa almost to vertex with marked distortion of the left frontal, temporal and parietal lobes and scalloping of the overlying calvarium. The midline is shifted 5 mm toward the right at the level of foramen of Monro. The midbrain is rightward and posteriorly displaced with significant rotation.

Midline shift at the level of the suprasellar cistern results in displacement of the pituitary infundibulum and optic chiasm toward the right by approximately 5 mm. The left optic nerve and tract are not focally compressed but may be stretched by the degree of displacement. Pituitary gland has normal appearances.

No brain parenchymal signal abnormality, diffusion restriction or susceptibility artefact. The left lateral ventricle appears partially effaced but there is no hydrocephalus or right ventricular entrapment.

Case Discussion

Some arachnoid cysts are remarkably large, but only sometimes cause definite symptoms. 

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Case information

rID: 35631
Case created: 14th Apr 2015
Last edited: 28th Sep 2015
Inclusion in quiz mode: Included

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