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Short Report on a Rare Presentation of Temporal Arachnoid Cyst and Lessons Learned.

Abstract：

BACKGROUND:Stiff neck or nuchal rigidity is a significant clinical sign of neurologic disease. It is commonly associated with meningitis, subarachnoid hemorrhage, and posterior fossa tumors. It may also occur as a result of tonsillar impaction following pressure in the infratentorial compartment from an expanding posterior fossa mass. It is, however, not commonly known to be associated with uncal herniation. CASE DESCRIPTION:We report a recent experience on this association. CONCLUSIONS:In the presence of stiff neck or nuchal rigidity in a patient with clinical signs of uncal herniation from a temporal arachnoid cyst, this unusual association could possibly be owing to the effect of increased pressure in the posterior fossa from massive shift of brain tissue posteriorly following a rapid rise in middle cranial fossa pressure consequent on an acute enlargement of the cyst. A false impression of acute meningeal irritation in such a situation could be quite misleading, resulting in late diagnosis and subsequently a delay in timely intervention.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Onyia CU,Akinniranye O,Olaitan A,Agoha C

doi

10.1016/j.wneu.2019.02.230

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

310-313

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(19)30720-X

journal_volume

126

pub_type

杂志文章

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