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Journal of Korean Neurosurgical Society 1984;13(2): 325-329.
Xanthoma in the lat. Ventricle Combined with Arachnoid Cyst in Left Sylvian Fissure, Aneurysm of the MCA, and Osteoma in the Skull: Case Report.
Woo Jin Chun, Hoon Kap Lee, Jeong Wha Chu
Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea.
ABSTRACT
The authors introduce a extremely rare case of xanthoma in the lateral ventricle which combined with the arachnoid cyst, aneurysm, and osteoma. This 11-year-old girl has been suffered the Rt. Sided motor weakness, the slurred speech and seizures before 1 year. The simple skull AP view showed the elevation of left sphenoidal ridge bulging temporal bone(Lt.), the localized sclerotic margin and centrally osteolytic change in the Lt. frontal bone. Brain computed tomogram revealed a relatively well circumscribed, moderately enhanced mass in the trigone of the left lateral ventricle accompanying with irregular low density in the left temporal lobe. At left carotid angiogram, multiple aneurysm of the Genu of the middle cerebral artery was found without spasm of adjacent vessels. The patient had operation for removal of the tumor, Arachnoid cyst and for wraping of the Aneurysm. The pedunculated reddish white mass was completely removed. The patient had improvement and discharged without another neurologic deficits. The motor mass was the Xanthoma.
Key Words: Xanthoma; Arachnoid cyst; Aneurysm; Osteoma
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