Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: Case report

Cheuk Wah Wong; Shih Tseng Lee; Tai Ngar Lui; Tony Wu; Ling Li Wu

doi:10.1016/S0090-3019(96)80016-4

Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: Case report

Cheuk Wah Wong, Shih Tseng Lee, Tai Ngar Lui, Tony Wu, Ling Li Wu

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.

Original language	English
Pages (from-to)	193-195
Number of pages	3
Journal	Surgical Neurology
Volume	45
Issue number	2
DOIs	https://doi.org/10.1016/S0090-3019(96)80016-4
Publication status	Published - Feb 1996
Externally published	Yes

Keywords

Arachnoid cyst
hemiparesis
hypesthesia
magnetic resonance imaging
quadrigeminal plate

ASJC Scopus subject areas

Clinical Neurology
Surgery

Access to Document

10.1016/S0090-3019(96)80016-4

Cite this

@article{36104f988adc4dc8970036af885e1992,

title = "Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: Case report",

abstract = "A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.",

keywords = "Arachnoid cyst, hemiparesis, hypesthesia, magnetic resonance imaging, quadrigeminal plate",

author = "Wong, {Cheuk Wah} and Lee, {Shih Tseng} and Lui, {Tai Ngar} and Tony Wu and Wu, {Ling Li}",

year = "1996",

month = feb,

doi = "10.1016/S0090-3019(96)80016-4",

language = "English",

volume = "45",

pages = "193--195",

journal = "Surgical Neurology",

issn = "0090-3019",

publisher = "Elsevier Inc.",

number = "2",

}

TY - JOUR

T1 - Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst

T2 - Case report

AU - Wong, Cheuk Wah

AU - Lee, Shih Tseng

AU - Lui, Tai Ngar

AU - Wu, Tony

AU - Wu, Ling Li

PY - 1996/2

Y1 - 1996/2

N2 - A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.

AB - A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.

KW - Arachnoid cyst

KW - hemiparesis

KW - hypesthesia

KW - magnetic resonance imaging

KW - quadrigeminal plate

UR - http://www.scopus.com/inward/record.url?scp=0029879251&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029879251&partnerID=8YFLogxK

U2 - 10.1016/S0090-3019(96)80016-4

DO - 10.1016/S0090-3019(96)80016-4

M3 - Article

C2 - 8607073

AN - SCOPUS:0029879251

SN - 0090-3019

VL - 45

SP - 193

EP - 195

JO - Surgical Neurology

JF - Surgical Neurology

IS - 2

ER -

Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: Case report

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this