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Journal of Korean Neurosurgical Society 2001;30(7): 928-933.
Two Cases of Intraventricular Arachnoid Cysts: Case Report.
Jae Seung Bang, Chang Wan Oh, Myoung Soo Kim, Ghee Young Choe, Byung Kyu Cho, Seung Koan Hong, Dae Hee Han
1Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
2Department of Pathology, Seoul National University College of Medicine, Seoul, Korea.
3Department of Neurosurgery, Kangwon National University College of Medicine, Chunchon, Korea.
ABSTRACT
Intraventricular arachnoid cyst has been rarely reported. Here we present two cases of symptomatic intraventricular arachnoid cysts in the fourth ventricle and right lateral ventricle. The first patient was a 38-year-old female who complained of headache and left facial hypesthesia. Computed tomography and MR scan revealed large cystic lesion in the fourth ventricle. After cyst wall removal, facial hypesthesia disappeared immediately and headache improved slowly. The second patient was a 9-year-old girl who complained of headache, vomiting and paresthesia in her right low extremity. Cystic lesion in the right lateral ventricle was detected in the CT and MR scan. The symptoms improved after cyst wall removal. Surgical findings of these two cases showed that the cyst walls were attached firmly to the choroid plexus. Symptomatic intraventricular arachnoid cyst must be treated appropriately and we recommend complete cyst wall removal.
Key Words: Symptomatic; Intraventricular; Arachnoid cyst
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