Document Type
Report
Department
Paediatrics and Child Health; Neurosurgery
Abstract
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.
Publication (Name of Journal)
JPMA. The Journal of the Pakistan Medical Association
Recommended Citation
Irfan, O.,
Rathore, H. N.,
Karim, S.,
Ariff, S.,
Darbar, A.
(2017). Multidisciplinary approach to the prenatal diagnosis and post natal management of a large suprasellar arachnoid cyst: A case report. JPMA. The Journal of the Pakistan Medical Association, 67(5), 824-826.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_mc/132