Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Arachnoid Cyst in Oculomotor Cistern

  • Kim, Min-Kyun (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Choi, Hyun Seok (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jeun, Sin-Soo (Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jung, So-Lyung (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Ahn, Kook-Jin (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Bum-Soo (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2013.01.08
  • Accepted : 2013.04.15
  • Published : 2013.09.01
⟨ Previous Next ⟩

Abstract

Oculomotor cistern is normal anatomic structure that is like an arachnoid-lined cerebrospinal fluid-filled sleeve, containing oculomotor nerve. We report a case of arachnoid cyst in oculomotor cistern, manifesting as oculomotor nerve palsy. The oblique sagittal MRI, parallel to the oculomotor nerve, showed well-defined and enlarged subarachnoid spaces along the course of oculomotor nerve. Simple fenestration was done with immediate regression of symptom. When a disease develops in oculomotor cistern, precise evaluation with proper MRI sequence should be performed to rule out tumorous condition and prevent injury of the oculomotor nerve.

Keywords

References

  1. Everton KL, Rassner UA, Osborn AG, Harnsberger HR. The oculomotor cistern: anatomy and high-resolution imaging. AJNR Am J Neuroradiol 2008;29:1344-1348 https://doi.org/10.3174/ajnr.A1089
  2. Martins C, Yasuda A, Campero A, Rhoton AL Jr. Microsurgical anatomy of the oculomotor cistern. Neurosurgery 2006;58(4 Suppl 2):ONS-220-227; discussion ONS-227-228
  3. Tanriover N, Kemerdere R, Kafadar AM, Muhammedrezai S, Akar Z. Oculomotor nerve schwannoma located in the oculomotor cistern. Surg Neurol 2007;67:83-88; discussion 88 https://doi.org/10.1016/j.surneu.2006.06.012
  4. Itshayek E, Perez-Sanchez X, Cohen JE, Umansky F, Spektor S. Cavernous hemangioma of the third cranial nerve: case report. Neurosurgery 2007;61:E653; discussion E653 https://doi.org/10.1227/01.NEU.0000290916.63094.8E
  5. Yeh S, Foroozan R. Orbital apex syndrome. Curr Opin Ophthalmol 2004;15:490-498 https://doi.org/10.1097/01.icu.0000144387.12739.9c
  6. Kim DW, Kim US. Unilateral optic nerve sheath meningocele presented with amblyopia. J Pediatr Ophthalmol Strabismus 2011;48 Online:e65-e66
  7. Lunardi P, Farah JO, Ruggeri A, Nardacci B, Ferrante L, Puzzilli F. Surgically verified case of optic sheath nerve meningocele: case report with review of the literature. Neurosurg Rev 1997;20:201-205 https://doi.org/10.1007/BF01105565
  8. Mesa-Gutierrez JC, Quinones SM, Ginebreda JA. Optic nerve sheath meningocele. Clin Ophthalmol 2008;2:661-668
  9. Shanmuganathan V, Leatherbarrow B, Ansons A, Laitt R. Bilateral idopathic optic nerve sheath meningocele associated with unilateral transient cystoid macular oedema. Eye (Lond) 2002;16:800-802 https://doi.org/10.1038/sj.eye.6700212
  10. Khosla A, Wippold FJ 2nd. CT myelography and MR imaging of extramedullary cysts of the spinal canal in adult and pediatric patients. AJR Am J Roentgenol 2002;178:201-207 https://doi.org/10.2214/ajr.178.1.1780201
  11. Ashker L, Weinstein JM, Dias M, Kanev P, Nguyen D, Bonsall DJ. Arachnoid cyst causing third cranial nerve palsy manifesting as isolated internal ophthalmoplegia and iris cholinergic supersensitivity. J Neuroophthalmol 2008;28:192-197 https://doi.org/10.1097/WNO.0b013e318183c57c
  12. Cheng CH, Lin HL, Cho DY, Chen CC, Liu YF, Chiou SM. Intracavernous sinus arachnoid cyst with optic neuropathy. J Clin Neurosci 2010;17:267-269 https://doi.org/10.1016/j.jocn.2009.05.027

Cited by

  1. Pupil-sparing third cranial nerve palsy with aberrant regeneration secondary to cavernous sinus arachnoid cyst vol.14, pp.None, 2013, https://doi.org/10.1016/j.ensci.2018.11.017
  2. A Review on the Effectiveness of Surgical Intervention for Symptomatic Intracranial Arachnoid Cysts in Adults vol.123, pp.None, 2019, https://doi.org/10.1016/j.wneu.2018.11.149