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

Autor: Omar, Irfan, Heera Nand, Rathore, Sarfraz, Karim, Shabina, Ariff, Aneela, Darbar
Rok vydání: 2017
Předmět:
Zdroj: JPMA. The Journal of the Pakistan Medical Association. 67(5)
ISSN: 0030-9982
Popis: 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.
Databáze: OpenAIRE