Blake's pouch cyst

Case contributed by Igor Strahovnik
Diagnosis almost certain

Presentation

Chronic headache without neurologic deficits.

Patient Data

Age: 45 years
Gender: Female
ct

Dilated supratentorial ventricles and 4th ventricle. No signs of acute transependymal flow. 

mri

Hydrocephalus.

Relatively small infravermian cyst widely communicating with 4th ventricle with signs of hyperdynamic liquor flow in 4th ventricle. Notice a small membrane in the floor of the suspected Blake pouch cyst and mild elevation of the tentorium. Choroid plexus mildly extends into superior cyst wall.

Case Discussion

Blake pouch cyst is a cystic appearing structure that represents posterior ballooning of the inferior medullary velum into the cisterna magna, below and posterior to the vermis.

 

Contributor: Dr Luka Turk

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