A Combined Surgical Approach to a Suprasellar Arachnoid Cyst with Precocious Puberty
نویسنده
چکیده
In paediatric neurosurgery practice 1% of all intracrnaial space occupying lesions are arachnoid cysts (2.3). Suprasellar location of this uncommon pathology is rare. Following the introduction of computerized tomography (CT)to neurosurgical practice. a significant increase has been seen in suprasellar arachnoid cysts (SSAC) cases. Despite this fact. 109 cases have been reported in the literature to date with satisfactory data (6. 10). Clinical features of SSAC are hydrocephalic and compressive disturbances. But one third of SSAC cases reported in the literature were shown to have the cliriical picture of true precocious puberty (11).
منابع مشابه
Suprasellar arachnoid cyst: a 20- year follow-up after stereotactic internal drainage: case report and review of the literature.
Approximately 9 to 15% arachnoid cysts occur in the sellar or suprasellar region. The optimal management of symptomatic suprasellar cysts continues to pose a challenge to neurosurgeons. This case report describes a patient with a suprasellar arachnoid cyst who presented at the age of 3 and was followed for 20 years after cystoventriculostomy. A girl was referred to neurosurgery department by a ...
متن کاملGiant suprasellar arachnoid cyst presenting with precocious puberty.
To cite: Rao K, Levy ML, Crawford JR. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014205750 DESCRIPTION A 9-year-old boy presented with a several month history of precocious puberty. Two months before presentation he began to hear his voice gradually deepen; 3 weeks before presentation he noticed increased hair growth over his axillary and genital regions. Re...
متن کاملHerniation of the cerebellar tonsils after suprasellar arachnoid cyst shunt: case report.
It is known that the caudal dislocation of the cerebellar tonsils may occur associated with clinical conditions such as an intracranial mass lesion or Chiari I and II malformation. It may also be acquired after repeated lumbar punctures or lumboperitoneostomy. The occurrence of cerebellar herniation after derivation of intracranial arachnoid cyst is extremely rare, and there are only three case...
متن کاملPre- and postnatal MR imaging of hypothalamic hamartomas associated with arachnoid cysts.
We describe two cases of hypothalamic hamartoma associated with arachnoid cysts. One case was initially documented on prenatal MR images. Because of the rarity of the association and resultant distortion in regional anatomy, the solid component of the mass may be overlooked. This would certainly be true when using lower-resolution diagnostic studies such as fetal MR imaging. The lesion could al...
متن کاملIsosexual precocious puberty in a boy with meningomyelocele and cerebral arachnoid cyst.
Appearance of secondary sexual characteristics before 9 years of age in boys constitutes precocious puberty(l). There are three major types of sexual precocity: true or central, peripheral and combined peripheral and central. Precocious puberty may be isosexual or heterosexual in nature. In this communication we report a case of meningomyelocele who developed isosexual precocious puberty second...
متن کامل