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Journal of Korean Neurosurgical Society 1993;22(4): 581-584.
Arachnoid Cyst in Sylvian Fissure Presented with Bitemporal Hemianopsia.
Tae Sik Jang, Byung Kook Min, Jong Sik Suk, Duck Young Choi
Department of Neurosurgery, College of Medicine, Chungang University, Seoul, Korea.
The anterior middle fossa is the most common location of benign intracranial arachnoid cysts. In the adult, headache, temporal bulging, and mild proptosis are the usual presenting complaints, although seizures and contralateral weakness have been described. Bitemporal hemianopsia associated with this lesion has not been noted previously. Herein we describe the patient with bitemporal hemianopsia associated with sylvian fissure arachnoid cyst. Cystoperitoneal shunt was beneficial. The etiology, histology, and suggested therapy of other patient with arachnooid cyst are also discussed.
Key Words: Bitemporal hemianopsia; Arachnoid cyst; Cysto-peritoneal shunt
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