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Review
. 2001 Jul;49(1):212-5.
doi: 10.1097/00006123-200107000-00034.

Arachnoid cyst of the craniocervical junction: case report

S J Price  1 , K M David, D G O'Donovan, A R Aspoas
Affiliations
Review

Arachnoid cyst of the craniocervical junction: case report

S J Price et al. Neurosurgery. 2001 Jul.

Abstract

Objective and importance: An arachnoid cyst at the craniocervical junction presenting with obstructive hydrocephalus as a result of blockage of the outflow of the fourth ventricle is described. This is a very rare anatomic site, with only five other cases described in the literature.

Clinical presentation: A 37-year-old woman presented with a 9-month history of severe neck pain, persistent vomiting, visual disturbances, and numbness of the nose, cheek, and lips. She had severe bilateral papilledema on ophthalmoscopy. Magnetic resonance imaging revealed a midline cystic lesion extending down to C2.

Intervention: The patient underwent posterior fossa craniectomy and excision of the arachnoid cyst. She made a full recovery and was asymptomatic at follow-up examination.

Conclusion: The symptomatology of these rare craniocervical arachnoid cysts and their development are discussed.

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