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- M Lefranc, J Peltier, A Fichten, C Desenclos, P Toussaint, and D Le Gars.
- Service de neurochirurgie, CHU d'Amiens, 5, place Victor-Pauchet, 80054 Amiens cedex 1, France. lefrancm@gmail.com
- Neurochirurgie. 2008 Apr 1; 54 (2): 89-92.
AbstractUsual locations of arachnoid cyst are the middle cranial fossa in 50-60%, cerebellopontine angle (10%) and suprasellar area (10%). Most of these malformations are asymptomatic. Premedullar arachnoid cysts are extremely rare. All previous cases reported were operated. We report a case of an asymptomatic giant craniocervical junction arachnoid cyst with a follow up of five years. In 2002, an adolescent consulted for persistent cervical pain. Encephalic MR showed a giant ventral craniocervical junction arachnoid cyst. Neurologic examination was normal. Conservative treatment was decided with a clinical follow up and repeated MR in case of persistent cervicalgia. Craniocervical junction arachnoid cysts are anecdotic. Medical care cannot be standardized. Pathogenesis and management are discussed.
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