Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst

Case report

Cheuk Wah Wong, Shih Tseng Lee, Tai Ngar Lui, Tony Wu, Ling Li Wu

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.

Original languageEnglish
Pages (from-to)193-195
Number of pages3
JournalSurgical Neurology
Volume45
Issue number2
Publication statusPublished - Feb 1996
Externally publishedYes

Fingerprint

Arachnoid Cysts
Paresis
Hydrocephalus
Magnetic Resonance Imaging
Mesencephalon
Neurologic Manifestations
Cysts
Early Diagnosis

Keywords

  • Arachnoid cyst
  • hemiparesis
  • hypesthesia
  • magnetic resonance imaging
  • quadrigeminal plate

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Wong, C. W., Lee, S. T., Lui, T. N., Wu, T., & Wu, L. L. (1996). Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: Case report. Surgical Neurology, 45(2), 193-195.

Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst : Case report. / Wong, Cheuk Wah; Lee, Shih Tseng; Lui, Tai Ngar; Wu, Tony; Wu, Ling Li.

In: Surgical Neurology, Vol. 45, No. 2, 02.1996, p. 193-195.

Research output: Contribution to journalArticle

Wong, CW, Lee, ST, Lui, TN, Wu, T & Wu, LL 1996, 'Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: Case report', Surgical Neurology, vol. 45, no. 2, pp. 193-195.
Wong CW, Lee ST, Lui TN, Wu T, Wu LL. Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: Case report. Surgical Neurology. 1996 Feb;45(2):193-195.
Wong, Cheuk Wah ; Lee, Shih Tseng ; Lui, Tai Ngar ; Wu, Tony ; Wu, Ling Li. / Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst : Case report. In: Surgical Neurology. 1996 ; Vol. 45, No. 2. pp. 193-195.
@article{36104f988adc4dc8970036af885e1992,
title = "Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: Case report",
abstract = "A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.",
keywords = "Arachnoid cyst, hemiparesis, hypesthesia, magnetic resonance imaging, quadrigeminal plate",
author = "Wong, {Cheuk Wah} and Lee, {Shih Tseng} and Lui, {Tai Ngar} and Tony Wu and Wu, {Ling Li}",
year = "1996",
month = "2",
language = "English",
volume = "45",
pages = "193--195",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst

T2 - Case report

AU - Wong, Cheuk Wah

AU - Lee, Shih Tseng

AU - Lui, Tai Ngar

AU - Wu, Tony

AU - Wu, Ling Li

PY - 1996/2

Y1 - 1996/2

N2 - A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.

AB - A 42-year-old woman presented with intermittent hemiparesis mimicking a reversible ischemic neurologic deficit. Magnetic resonance imaging (MRI) demonstrated a compression of the left side of the midbrain by a quadrigeminal arachnoid cyst without hydrocephalus. After the cystic wall was widely excised under operating microscope, the patient made a good recovery and remained well at a follow-up of 18 months. The absence of hydrocephalus in a symptomatic patient with a quadrigeminal cyst was exceptional, which might result from the early diagnosis with MRI. The use of microsurgical technique made it possible to excise the cystic wall widely and omit a shunting procedure.

KW - Arachnoid cyst

KW - hemiparesis

KW - hypesthesia

KW - magnetic resonance imaging

KW - quadrigeminal plate

UR - http://www.scopus.com/inward/record.url?scp=0029879251&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029879251&partnerID=8YFLogxK

M3 - Article

VL - 45

SP - 193

EP - 195

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

IS - 2

ER -