Orthostatic Enlargement of a Supracerebellar Arachnoid Cyst With Cerebellar Descent Visualized by Upright Computed Tomography

Keisuke Yoshida; Masahiro Toda; Yoshitake Yamada; Minoru Yamada; Yoichi Yokoyama; Hirokazu Fujiwara; Kenzo Kosugi; Hikaru Sasaki; Masahiro Jinzaki

doi:10.1016/j.wneu.2020.09.132

Orthostatic Enlargement of a Supracerebellar Arachnoid Cyst With Cerebellar Descent Visualized by Upright Computed Tomography

Keisuke Yoshida, Masahiro Toda, Yoshitake Yamada, Minoru Yamada, Yoichi Yokoyama, Hirokazu Fujiwara, Kenzo Kosugi, Hikaru Sasaki, Masahiro Jinzaki

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Background: Posterior fossa arachnoid cysts are often asymptomatic, but can rarely cause postural headache, the mechanism of which remains unknown. Case Description: We present a 40-year-old woman with an asymptomatic supracerebellar arachnoid cyst. Upright computed tomography (CT) showed enlargement of the arachnoid cyst and caudal descent of the cerebellum compared with supine CT with narrowing of the craniocervical junction cerebrospinal fluid space. Conclusions: This finding aids in understanding the association of posterior fossa arachnoid cysts with orthostatic headache. Clinicians should be aware of possible posture-related changes in intracranial structures.

Original language	English
Pages (from-to)	256-259
Number of pages	4
Journal	World neurosurgery
Volume	145
DOIs	https://doi.org/10.1016/j.wneu.2020.09.132
Publication status	Published - 2021 Jan

Keywords

Arachnoid cyst
Cerebrospinal fluid
Chiari malformation
Postural headache
Upright CT

ASJC Scopus subject areas

Surgery
Clinical Neurology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.wneu.2020.09.132

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title = "Orthostatic Enlargement of a Supracerebellar Arachnoid Cyst With Cerebellar Descent Visualized by Upright Computed Tomography",

abstract = "Background: Posterior fossa arachnoid cysts are often asymptomatic, but can rarely cause postural headache, the mechanism of which remains unknown. Case Description: We present a 40-year-old woman with an asymptomatic supracerebellar arachnoid cyst. Upright computed tomography (CT) showed enlargement of the arachnoid cyst and caudal descent of the cerebellum compared with supine CT with narrowing of the craniocervical junction cerebrospinal fluid space. Conclusions: This finding aids in understanding the association of posterior fossa arachnoid cysts with orthostatic headache. Clinicians should be aware of possible posture-related changes in intracranial structures.",

keywords = "Arachnoid cyst, Cerebrospinal fluid, Chiari malformation, Postural headache, Upright CT",

author = "Keisuke Yoshida and Masahiro Toda and Yoshitake Yamada and Minoru Yamada and Yoichi Yokoyama and Hirokazu Fujiwara and Kenzo Kosugi and Hikaru Sasaki and Masahiro Jinzaki",

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year = "2021",

month = jan,

doi = "10.1016/j.wneu.2020.09.132",

language = "English",

volume = "145",

pages = "256--259",

journal = "World neurosurgery",

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T1 - Orthostatic Enlargement of a Supracerebellar Arachnoid Cyst With Cerebellar Descent Visualized by Upright Computed Tomography

AU - Yoshida, Keisuke

AU - Toda, Masahiro

AU - Yamada, Yoshitake

AU - Yamada, Minoru

AU - Yokoyama, Yoichi

AU - Fujiwara, Hirokazu

AU - Kosugi, Kenzo

AU - Sasaki, Hikaru

AU - Jinzaki, Masahiro

PY - 2021/1

Y1 - 2021/1

N2 - Background: Posterior fossa arachnoid cysts are often asymptomatic, but can rarely cause postural headache, the mechanism of which remains unknown. Case Description: We present a 40-year-old woman with an asymptomatic supracerebellar arachnoid cyst. Upright computed tomography (CT) showed enlargement of the arachnoid cyst and caudal descent of the cerebellum compared with supine CT with narrowing of the craniocervical junction cerebrospinal fluid space. Conclusions: This finding aids in understanding the association of posterior fossa arachnoid cysts with orthostatic headache. Clinicians should be aware of possible posture-related changes in intracranial structures.

AB - Background: Posterior fossa arachnoid cysts are often asymptomatic, but can rarely cause postural headache, the mechanism of which remains unknown. Case Description: We present a 40-year-old woman with an asymptomatic supracerebellar arachnoid cyst. Upright computed tomography (CT) showed enlargement of the arachnoid cyst and caudal descent of the cerebellum compared with supine CT with narrowing of the craniocervical junction cerebrospinal fluid space. Conclusions: This finding aids in understanding the association of posterior fossa arachnoid cysts with orthostatic headache. Clinicians should be aware of possible posture-related changes in intracranial structures.

KW - Arachnoid cyst

KW - Cerebrospinal fluid

KW - Chiari malformation

KW - Postural headache

KW - Upright CT

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ER -

Orthostatic Enlargement of a Supracerebellar Arachnoid Cyst With Cerebellar Descent Visualized by Upright Computed Tomography

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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