Quadrigeminal plate arachnoid cyst presenting with eye movement related migraine: a rare case report

  • Yemima Graciela Faculty of Medicine, Universitas Tarumanagara, Jakarta, Indonesia
  • Robert Shen Atma Jaya Neuroscience Research (ANR), Master Study Program in Biomedical Sciences, School of Medicine and Health Sciences, Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia; Bunda Pengharapan Hospital, Papua, Indonesia https://orcid.org/0000-0002-2063-4145
  • Mardjono Tjahjadi School of Medicine and Health Sciences, Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia
DOI: https://doi.org/10.13181/mji.cr.236858
Keywords: arachnoid cysts, eye movement, microsurgery, migraine disorder
Abstract viewed: 212 times
PDF downloaded: 156 times
HTML downloaded: 60 times
EPUB downloaded: 58 times

Abstract

Type II arachnoid cyst of the quadrigeminal cistern is the rarest type of arachnoid cyst (10% prevalence) in adults and is generally asymptomatic. We reported an unusual case of chronic right-sided migraine provoked by right eye adduction, right eye adduction soreness, and dry eye symptoms in a 47-year-old woman with quadrigeminal arachnoid cyst confirmed by radiological findings with the compression of the tectal plate, vermis, and superomedial cerebellum’s part. She was treated conservatively without improvement for 1 year before surgical intervention was conducted. Microsurgery for cyst excision and fenestration was done, followed by immediate relief from all her complaints after 3 months of follow-up. These findings should help clinicians consider surgical intervention for patients with chronic symptoms related to nerve function that have no improvement with the initial treatment.

References

  1. Mustansir F, Bashir S, Darbar A. Management of arachnoid cysts: a comprehensive review. Cureus. 2018;10(4):e2458. https://doi.org/10.7759/cureus.2458

  2. Al-Holou WN, Terman S, Kilburg C, Garton HJ, Muraszko KM, Maher CO. Prevalence and natural history of arachnoid cysts in adults. J Neurosurg. 2013;118(2):222−31. https://doi.org/10.3171/2012.10.JNS12548

  3. Samii M, Carvalho GA, Schuhmann MU, Matthies C. Arachnoid cysts of the posterior fossa. Surg Neurol. 1999;51(4):376−82. https://doi.org/10.1016/S0090-3019(98)00095-0

  4. Deopujari CE, Shaikh ST, Karmarkar VS, Sudke AY, Mohanty CB, Biyani NK. Experience with management of intracranial arachnoid cysts. J Neurol Surg A Cent Eur Neurosurg. 2021;82(1):43-52. https://doi.org/10.1055/s-0040-1718522

  5. Choi SK, Starshak RJ, Meyer GA, Kovnar EH, Sty JR. Arachnoid cyst of the quadrigeminal plate cistern: report of two cases. AJNR Am J Neuroradiol. 1986;7(4):725-8.

  6. Akutagawa K, Tamura G, Tsurubuchi T, Ishikawa E, Matsumura A, Inagaki T. Quadrigeminal arachnoid cyst with perinatal encephalocele. Childs Nerv Syst. 2020;36(7):1393-7. https://doi.org/10.1007/s00381-020-04626-2

  7. Garg K, Tandon V, Sharma S, Suri A, Chandra PS, Kumar R, et al. Quadrigeminal cistern arachnoid cyst: a series of 18 patients and a review of literature. Br J Neurosurg. 2015;29(1):70-6. https://doi.org/10.3109/02688697.2014.957646

  8. Cinalli G, Spennato P, Columbano L, Ruggiero C, Aliberti F, Trischitta V, et al. Neuroendoscopic treatment of arachnoid cysts of the quadrigeminal cistern: a series of 14 cases. J Neurosurg Pediatr. 2010;6(5):489-97. https://doi.org/10.3171/2010.8.PEDS08491

  9. Spennato P, Ruggiero C, Aliberti F, Buonocore MC, Trischitta V, Cinalli G. Interhemispheric and quadrigeminal cysts. World Neurosurg. 2013;79(2 Suppl):S20.e1-7. https://doi.org/10.1016/j.wneu.2012.02.010

  10. Silva MA, Chang H, Weng J, Hernandez NE, Shah AH, Wang S, et al. Surgical management of quadrigeminal cistern arachnoid cysts: case series and literature review. J Neurosurg Pediatr. 2022;29(4):427-34. https://doi.org/10.3171/2021.11.PEDS21497

  11. Takaki Y, Tsutsumi S, Teramoto S, Nonaka S, Okura H, Suzuki T, et al. Quadrigeminal cistern arachnoid cyst as a probable cause of hemifacial spasm. Radiol Case Rep. 2021;16(6):1300-4. https://doi.org/10.1016/j.radcr.2021.02.061

  12. Hayashi N, Endo S, Tsukamoto E, Hohnoki S, Masuoka T, Takaku A. Endoscopic ventriculocystocisternostomy of a quadrigeminal cistern arachnoid cyst. Case report. J Neurosurg. 1999;90(6):1125-8. https://doi.org/10.3171/jns.1999.90.6.1125

  13. Inamasu J, Ohira T, Nakamura Y, Saito R, Kuroshima Y, Mayanagi K, et al. Endoscopic ventriculo-cystomy for non-communicating hydrocephalus secondary to quadrigeminal cistern arachnoid cyst. Acta Neurol Scand. 2003;107(1):67-71. https://doi.org/10.1034/j.1600-0404.2003.02044.x

  14. Gangemi M, Maiuri F, Colella G, Magro F. Endoscopic treatment of quadrigeminal cistern arachnoid cysts. Minim Invasive Neurosurg. 2005;48(5):289-92. https://doi.org/10.1055/s-2005-915604

  15. Ohnishi YI, Fujimoto Y, Taniguchi M, Tsuzuki T, Taki T. Neuroendoscopically assisted cyst-cisternal shunting for a quadrigeminal arachnoid cyst causing typical trigeminal neuralgia. Minim Invasive Neurosurg. 2007;50(2):124-7. https://doi.org/10.1055/s-2007-982507

  16. Roka YB, Nepal A. Unusual cause for unilateral headache: a quadrigeminal cistern arachnoid cyst. Ann Acad Med Singap. 2010;39(6):495-6. https://doi.org/10.47102/annals-acadmedsg.V39N6p495

  17. Zanini MA, Rondinelli G, Fernandes AY. Endoscopic supracerebellar infratentorial parapineal approach for third ventricular colloid cyst in a patient with quadrigeminal cistern arachnoid cyst: case report. Clin Neurol Neurosurg. 2013;115(6):751-5. https://doi.org/10.1016/j.clineuro.2012.06.032

  18. Arakawa Y, Kita D, Ezuka I, Hayashi Y, Hamada J, Hayashi Y. Regression of cerebellar tonsillar descent and hydrocephalus after endoscopic third ventriculostomy in a patient with a quadrigeminal arachnoid cyst. Surg Neurol Int. 2013;4:142. https://doi.org/10.4103/2152-7806.119883

  19. Gui S, Bai J, Wang X, Zong X, Li C, Cao L, et al. Assessment of endoscopic treatment for quadrigeminal cistern arachnoid cysts: a 7-year experience with 28 cases. Childs Nerv Syst. 2016;32(4):647-54. https://doi.org/10.1007/s00381-015-2962-5

  20. Yu L, Qi S, Peng Y, Fan J. Endoscopic approach for quadrigeminal cistern arachnoid cyst. Br J Neurosurg. 2016;30(4):429-37. https://doi.org/10.3109/02688697.2015.1119236

  21. Isaka T, Akai F, Kuroda R, Nakatani S, Taneda S. [The quadrigeminal giant cyst communicating with lateral ventricle as a cause of obstructive hydrocephalus: a case report]. CI Kenkyu. 1995;17:413-7. Japanese.

  22. Laviv Y, Neto S, Kasper EM. Management of quadrigeminal arachnoid cyst associated with obstructive hydrocephalus: report on stereotactic ventricular - cystic stenting. Br J Neurosurg. 2019;33(4):418-21. https://doi.org/10.1080/02688697.2017.1344618

  23. Ohtsuka K, Hashimoto M, Nakamura Y. Bilateral trochlear nerve palsy with arachnoid cyst of the quadrigeminal cistern. Am J Ophthalmol. 1998;125(2):268-70. https://doi.org/10.1016/S0002-9394(99)80110-X

  24. Hayashi N, Hamada H, Umemura K, Kurosaki K, Kurimoto M, Endo S. [Selection of surgical approach for quadrigeminal cistern arachnoid cyst]. No Shinkei Geka. 2005;33(5):457-65. Japanese.

  25. Topsakal C, Kaplan M, Erol F, Cetin H, Ozercan I. Unusual arachnoid cyst of the quadrigeminal cistern in an adult presenting with apneic spells and normal pressure hydrocephalus--case report. Neurol Med Chir (Tokyo). 2002;42(1):44-50. https://doi.org/10.2176/nmc.42.44

  26. Wong CW, Lee ST, Lui TN, Wu T, WU LL. Fluctuating hemiparesis caused by a quadrigeminal arachnoid cyst: case report. Surg Neurol. 1996;45(2):193-5. https://doi.org/10.1016/0090-3019(95)00247-2

  27. Sharifi G, Jahanbakhshi A. Quadrigeminal cistern arachnoid cyst treated by endoscopic ventriculocystostomy through the trigonal region. J Neurol Surg A Cent Eur Neurosurg. 2013;74 Suppl 1:e145-8. https://doi.org/10.1055/s-0032-1331384

  28. White ML, M Das J. Arachnoid cysts. [updated 2022 Oct 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563272/.

  29. Park IS, Lee NJ, Rhyu IJ. Roles of the declive, folium, and tuber cerebellar vermian lobules in sportspeople. J Clin Neurol. 2018;14(1):1-7. https://doi.org/10.3988/jcn.2022.18.1.1

  30. Choi JH, Choi KD. Cerebellar control of saccades. Ann Clin Neurophysiol. 2013;15(2):37-41. https://doi.org/10.14253/kjcn.2013.15.2.37

  31. Kheradmand A, Zee DS. Cerebellum and ocular motor control. Front Neurol. 2011;2:53. https://doi.org/10.3389/fneur.2011.00053

  32. Ruchalski K, Hathout GM. A medley of midbrain maladies: a brief review of midbrain anatomy and syndromology for radiologists. Radiol Res Pract. 2012;2012:258524. https://doi.org/10.1155/2012/258524

  33. Hayashi Y, Takata S, Iizuka H. Endoscopic treatment for arachnoid cyst at the cerebellopontine angle presenting with bilateral trigeminal neuralgia: case report and literature review. Interdiscip Neurosurg. 2020;22:100815. https://doi.org/10.1016/j.inat.2020.100815

  34. Campagnaro L, Bonaudo C, Capelli F, Della Puppa A. Microscope neuronavigation-guided microsurgical fenestration of quadrigeminal cistern arachnoid cysts: how I do it. Acta Neurochir (Wien). 2023;165(9):2561-5. https://doi.org/10.1007/s00701-023-05531-8

Published
2023-10-20
How to Cite
1.
Graciela Y, Shen R, Tjahjadi M. Quadrigeminal plate arachnoid cyst presenting with eye movement related migraine: a rare case report. Med J Indones [Internet]. 2023Oct.20 [cited 2024May22];32(2):129-36. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/6858
Issue
Vol. 32 No. 2 (2023): June
Section
Case Report/Series

Copyright (c) 2023 Yemima Graciela, Robert Shen, Mardjono Tjahjadi

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with Medical Journal of Indonesia agree to the following terms:

  1. Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
  2. Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.