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Arachnoid cyst-posterior fossa

Case contributed by Naqibullah Foladi
Diagnosis almost certain

Presentation

Irritable child

Patient Data

Age: 5 years
Gender: Male

A well-defined rounded cystic structure posteroinferior to vermis with no communication to the fourth ventricle. Dilatation of third and both lateral ventricles with subependymal leakage ( acute tri-ventricular hydrocephalus)

Case Discussion

An intact vermis and lack of communication with the fourth ventricle are features of a posterior fossa arachnoid cyst

Additional contributor: Dr. Rasool Noori

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