Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 12 , ISSUE 1 ( March, 2008 ) > List of Articles

CASE REPORT

Acute respiratory failure as a manifestation of an arachnoid cyst

L.V. Pillai, Gopal Achari, Sanjay Desai, Vinayak Patil

Keywords : Cystoperitoneal shunt, posterior fossa arachnoid cyst, respiratory arrest

Citation Information : Pillai L, Achari G, Desai S, Patil V. Acute respiratory failure as a manifestation of an arachnoid cyst. Indian J Crit Care Med 2008; 12 (1):42-45.

DOI: 10.4103/0972-5229.40951

License: CC BY-ND 3.0

Published Online: 00-03-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Arachnoid cysts are the most common congenital cystic lesions in the brain occurring in the middle fossa, suprasellar region and occasionally in the posterior fossa. Conventionally all cysts are considered as benign and symptoms are attributed to expansion of cysts causing compression of adjacent neurological structures, bleeds within the cyst or due to the development of acute hydrocephalus. We are reporting this case of a 15-year-old female patient with non-progressive weakness in the limbs since the age of seven years who presented with acute onset syncopal attacks and respiratory failure. She was intubated and ventilated. An magnetic resonance imaging scan showed large posterior fossa cyst extending up to mid second cervical vertebra causing compression of the medulla and pons, with mild hydrocephalus. After a failed attempt to wean her from the ventilator a cysto peritoneal shunt surgery was performed following which she was weaned from the ventilator successfully. Weakness in the upper and lower limbs, which had increased in the preceding month, also improved following the surgery.


PDF Share
  1. Congenital cysts of the brain: Arachnoid malformations. Neurol Surg 1971;4:133-73.
  2. Neuroradiology of selected disorders of the meninges, calvarium and venous sinuses. AJNR Am J Neuroradiol 1992;13:483-91.
  3. Intracranial arachnoid cysts: Treatment alternatives and outcome in a series of 25 patients. Ann Saudi Med 1997;17:288-92.
  4. Supratentorial arachnoid cysts: Clinical and therapeutic remarks on 46 cases Acta Neurochir (Wien) 1995;132:75-8.
  5. An arachnoid cyst presenting as an intramedullary tumour. J Neurol Neurosurg Psychiatry 2000;68:508-10.
  6. Suprasellar arachnoid cyst associated with syringomyelia. Neurochirurgie 2000;46:34-8.
  7. Arachnoid cyst resulting in tonsillar herniation and syringomyelia in a patient with achondroplasia. Case report. Neurosurg Focus 2005;19:E14.
  8. Retrocerebellar arachnoid cyst with syringomyelia: A case report. Neurol India 2000;48:81-3.
  9. Precocious puberty caused by a suprasellar arachnoid cyst. Analysis of 6 cases. Arch Fr Pediatr 1987;44:489-93
  10. Posterior fossa arachnoid cysts. Br J Neurosurg 1999;13:10-7
  11. Posterior fossa arachnoid cysts can mimic. Meniere′s disease. Am J Otolaryngol 2003;24:420-5.
  12. Intracranial arachnoid cysts in children. J Neurosurg 1986;64:835-42.
  13. Disappearance of arachnoid cysts after head injury. Neurosurgery 1995;36:938-42.
  14. Postnatal development and enlargement of primary middle cranial fossa arachnoid cyst recognized on repeat CT scans. Childs Nerv Syst 1986;2:211-5.
  15. Expansion of arachnoid cysts in children: Report of two cases and review of the literature. J Neurosurg 2005;102:314-7.
  16. Do arachnoid cysts grow? A retrospective CT volumetric study. Neuroradiology 1991;33:341-5
  17. Supratentorial arachnoid cysts in adults. A discussion of two cases from a pathophysiologic and surgical perspective. Arch Neurol 1997;34:276-9.
  18. Role of MR imaging in the diagnosis of complicated arachnoid cyst. Pediatr Radiol 2000;30:329-31.
  19. Chemical analysis of fluid obtained from intracranial arachnoid cysts in pediatric patients. J Neurosurg 2005;103:427-32.
  20. Arachnoid cysts of the left temporal fossa: impaired preoperative cognition and postoperative improvement. J Neurosurg Psychiatry 1995;59:293-8.
  21. Presentation and management of suprasellar arachnoid cysts. Review of 20 cases. J Neurosurg 1990;73:355-9.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.