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
Keywords: arachnoid cysts, eye movement, microsurgery, migraine disorder


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.


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How to Cite
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 2023Dec.2];32(2):129-36. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/6858
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