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Journal of Craniovertebral Junction and Spine
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Year : 2012  |  Volume : 3  |  Issue : 1  |  Page : 16-18

Large intradural craniospinal arachnoid cyst: A case report and review of literature

Department of Neurosurgery, S.C.B. Medical College and Hospital, Cuttack, Orissa, India

Correspondence Address:
Souvagya Panigrahi
Department of Neurosurgery, S.C.B. Medical College and Hospital, Cuttack, Orissa - 753 007
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-8237.110119

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Presence of an arachnoid cyst at craniospinal junction is not very common. This is a very rare anatomic site, with only seven other cases reported in the literature. We report a case of large intradural craniospinal arachnoid cyst presenting with obstructive hydrocephalus and cranial nerve palsy. A 39-year-old male presented with 8-month history of neck pain, headache, vomiting, visual disturbances, diminished taste sensation, and numbness of face. He had bilateral papilledema on ophthalmoscopy. Magnetic resonance imaging (MRI) revealed a posterior fossa arachnoid cyst extending down to the lower border of C5 vertebra. Posterior decompression was done through C5 laminectomy. He made a full recovery and was asymptomatic at 6-month follow-up examination. The clinical features, diagnosis, and management of these rare craniospinal arachnoid cysts are discussed.

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