Multidisciplinary approach to the prenatal diagnosis and Post natal management of a large suprasellar arachnoid cyst: A case report

Arachnoid cysts are intra-arachnoid sacs filled with cerebrospinal fluid representing a rare occurence in neonates. We report the case of a suprasellar arachnoid cyst diagnosed prenatally at 21 weeks gestation on routine obstetric ultrasound. A cystic lesion was picked up incidentally at routine ant...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2017-05, Vol.67 (5), p.824-824
Main Authors: Irfan, Omar, Rathore, Heera Nand, Karim, Sarfraz, Ariff, Shabina, Darbar, Aneela
Format: Article
Language:English
Subjects:
Arachnoid Cysts - diagnostic imaging
Arachnoid Cysts - surgery
Craniotomy
Female
Humans
Infant, Newborn
Magnetic Resonance Imaging
Male
Neuroendoscopy
Neurosurgical Procedures
Patient Care Team
Pregnancy
Pregnant women
Prenatal Diagnosis
Recurrence
Ultrasonography, Prenatal
Ventriculostomy
Young Adult
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Summary:Arachnoid cysts are intra-arachnoid sacs filled with cerebrospinal fluid representing a rare occurence in neonates. We report the case of a suprasellar arachnoid cyst diagnosed prenatally at 21 weeks gestation on routine obstetric ultrasound. A cystic lesion was picked up incidentally at routine antenatal scan. The cyst was noted to be increasing in size over a series of radiological scans. The cyst was diagnosed as a suprasellar arachnoid cyst compressing the third ventricle and bilateral lateral ventricles. A left pteryonal craniotomy for cystocisternostomy of large suprasellar cyst was performed initially. Within a month the cyst recurred with clinical and radiological evidence. An Endoscopic Third Ventriculostomy (ETV) with fenestration was performed.The patient was shifted to the NICU and discharged after 3 days in a stable condition. Patient was followed after 1 week and reassured and advised for one year follow-up.
ISSN:0030-9982