Arachnoid cyst - middle cranial fossa

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Head trauma.

Patient Data

Age: 11 years
Gender: Male

Large well-circumscribed cystic lesion of extra-axial location in the left middle cranial fossa, extending to the insular region with a mass effect on the temporal and frontal lobes with thinning of the adjacent inner table of the skull. No significant mass effect on the midline structures.

No extra-or subdural hematoma nor parenchymal contusion or subarachnoid hemorrhage.

No cranial vault or skull base fracture.

Case Discussion

CT features of a large arachnoid cyst of the middle cranial fossa extending to the insular region, type III according to Galassi classification (incidental finding in this case).

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