Asymptomatic supratentorial arachnoid cyst and symptomatic demyelination plaques: which one needs treatment?
Intracranial arachnoid cysts are rare but the widespread use of brain imaging has disclosed many asymptomatic cysts. The authors report the case of a 37-year-old woman who presented with features suggestive of relapsing-remitting multiple sclerosis (MS). Her brain MRI revealed a moderately large arachnoid cyst in the right frontal area in addition to the periventricular plaques of MS. The cyst was an incidental imaging finding and the patient was asymptomatic prior to the development of MS.
Department of Neurology, Sulaimaniya General Teaching Hospital, Sulaimaniya City, Iraq. dr.osama.amin@gmail.com
Osama Shukir Muhammed
OS
Amin
Sa'ad Seud
SS
Shwani
D000284:Administration, Oral; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D016080:Arachnoid Cysts / Q000175:diagnosis / Q000628:therapy*; D058070:Asymptomatic Diseases / Q000628:therapy*; D002552:Cerebral Ventricles / Q000473:pathology; D015897:Comorbidity; D003299:Cooperative Behavior; D005260:Female; D005625:Frontal Lobe / Q000473:pathology; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D033162:Incidental Findings; D007262:Infusions, Intravenous; D033183:Interdisciplinary Communication; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000175:diagnosis / Q000628:therapy*; D011239:Prednisolone / Q000627:therapeutic use; D011856:Radiographic Image Enhancement
D000893:Anti-Inflammatory Agents; D011239:Prednisolone; D008775:Methylprednisolone