An unusual case of retrobulbar arachnoid cyst and its management.
Arachnoid cysts are collection of cerebrospinal fluid contained inside a cavity lined by leptomeninges. It constitutes 1% of all intracranial tumours mostly present in the middle cranial fossa. Retrobulbar arachnoid cyst in elderly persons are a rare occurrence. We report a rare case of retrobulbar arachnoid cyst with ophthalmic manifestations and its effective management. CT-guided aspiration of the cyst and subsequent cytological and biochemical test revealed an arachnoid cyst. Patient is on a 5-year follow up without recurrence and improvement of the vision in the affected eye.
Das
Dipankar
D
Sri Sankaradeva Nethralaya, Guwahati, Assam, India. dr.dasdipankar@yahoo.com
Deka
Panna
P
Deka
Akshay C
AC
Bhattacharjee
Kasturi
K
Bhattacharjee
Harsha
H
Das
Jayanta Kr
JK
Kuri
Ganesh Chandra
GC
D000368:Aged; D016080:Arachnoid Cysts / Q000175:diagnosis* / Q000601:surgery*; D044963:Biopsy, Fine-Needle; D005094:Exophthalmos / Q000175:diagnosis / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009887:Ophthalmoscopy / Q000379:methods; D009916:Orbital Diseases / Q000175:diagnosis* / Q000601:surgery*; D015641:Radiography, Interventional / Q000379:methods*; D018570:Risk Assessment; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014065:Tonometry, Ocular; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler