Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 4 , Pages 284-287 , June 2010

Arachnoid cyst with extraordinary extracranial extension in the skull base as a result of an iatrogenic defect of the middle cranial fossa floor: Case report and literature review

  • Dimitrios Koutsimpelas, MD

      Affiliations

    • Department of Otorhinolaryngology, University Hospital, School of Medicine, Langenbeckstr. 1, 55101 Mainz, Germany
    • Corresponding Author InformationDimitrios Koutsimpelas, MD, Department of Otorhinolaryngology, University Hospital of Mainz, Langenbeckstr. 1 55101 Mainz, Germany. Tel.: +49 6131 175813; Fax: +49 6131 176637.
  • ,
  • Wibke Mueller-Forell, PhD

      Affiliations

    • Department of Neuroradiology, University Hospital, School of Medicine, Langenbeckstr. 1, 55101 Mainz, Germany
  • ,
  • Peter Stoeter, PhD (Chairman)

      Affiliations

    • Department of Neuroradiology, University Hospital, School of Medicine, Langenbeckstr. 1, 55101 Mainz, Germany
  • ,
  • Otto Hey, MD

      Affiliations

    • Department of Otorhinolaryngology, University Hospital, School of Medicine, Langenbeckstr. 1, 55101 Mainz, Germany
  • ,
  • Wolf J. Mann, PhD, FACS (Chairman)

      Affiliations

    • Department of Otorhinolaryngology, University Hospital, School of Medicine, Langenbeckstr. 1, 55101 Mainz, Germany

Received 2 June 2008 ,Accepted 16 March 2009.

References 

  1. Arita N, Mori S, Sano M, Hayakawa T, Nakao K, Kanai N, et al. Surgical treatment of tumors in the anterior skull base using the transbasal approach. Neurosurgery. 1989;24:379–384
  2. Bebear JP, Darrouzet V, Stoll D. Surgery of the anterior skull base: total ethmoidectomy for malignant ethmoidal tumors. Isr J Med Sci. 1992;28:169–172
  3. Brackett CE, Rengachary SS. Posttraumatic arachnoid cysts. In:  Youmans JR editors. Neurological Surgery. 2nd ed.. Philadelphia: W.B. Saunders; 1982;p. 2205–2208
  4. Catala M, Poirier J. Arachnoid cysts: histologic, embryologic and physiopathologic review. Rev Neurol. 1998;154:489–501
  5. Choi JU, Kim DS. Pathogenesis of arachnoid cyst: congenital or traumatic?. Pediatr Neurosurg. 1998;29:260–266
  6. Ciricillo SF, Cogen PH, Harsh GR, Edwards MSB. Intracranial arachnoid cysts in children: a comparison of the effects of fenestration and shunting. J Neurosurg. 1991;74:230–235
  7. Derome PJ, Guiot A. Surgical approaches to the sphenoid and clival areas. Adv Tech Stand Neurosurg. 1979;6:101–136
  8. Di Rocco C. Arachnoid cyst. In:  Youmans JR editors. Neurological Surgery. 3rd ed.. Philadelphia: W.B. Saunders; 1990;p. 1299–1325
  9. D'Almedia AC, King RB. Intradiploic cerebrospinal fluid fistula: report of two cases. J Neurosurg. 1981;54:84–88
  10. Galassi E, Tognetti F, Frank F, Fagioli L, Nasi MT, Gaist G. Infratentorial arachnoid cysts. J Neurosurg. 1985;63:210–217
  11. Goel A. Alternative methods for reconstruction of skull base bone using locally available materials. In:  Torrens M,  Al-Mefty O,  Kobayashi S editor. Operative Skull Base Surgery. New York: Churchill Livingstone; 1997;p. 359–372
  12. Kandogan T, Olgun L, Gültekin G, Aydar L, Sezgin O. A suprasellar arachnoid cyst destructing sphenoid sinus: an unusual cause of headache in an elderly female. Swiss Med Wkly. 2004;134(1-2):28–29
  13. Kutlay M, Colak A, Demircan N, Akin ON. Iatrogenic arachnoid cyst with distinct clinical picture as a result of bone defect in the floor of the middle cranial fossa: case report. Neurosurgery. 1998;43(5):1215–1217
  14. van der Meche FGA, Braakman R. Arachnoid cysts in the middle cranial fossa: cause and treatment of progressive and non-progressive symptoms. J Neurol Neurosurg Psychiatry. 1983;46:1102–1107
  15. Mewes T, Mann W. Arachnoid cyst of the sphenoid sinus. Laryngorhinootologie. 1998;77(2):107–110
  16. Pierre-Kahn A, Capelle L, Brauner R, Sainte-Rose C, Renier D, Rappaport R, et al. Presentation and management of supracellar arachnoid cysts: review of 20 cases. J Neurosurg. 1990;73:355–359
  17. Raimondi AJ, Shimoji T, Gutierrez FA. Suprasellar cysts: surgical treatment and results. Childs Brain. 1980;7:57–72
  18. Rengachary SS, Watanabe I. Ultrastructure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol. 1981;40:61–83
  19. Rengachary SS, Kennedy JD. Intracranial arachnoid and ependymal cysts. In:  Wilkins RH,  Rengachary SS editor. Neurosurgery. 2nd ed.. New York: McGraw-Hill; 1996;p. 3709–3728
  20. Sato K, Shimoji T, Yaguchi K, Sumie H, Kuru Y, Ishii S. Middle fossa arachnoid cyst: clinical, neuroradiological, and surgical features. Childs Brain. 1983;10(5):301–316
  21. Schuller DE, Goodman JH, Miller CA. Reconstruction of the skull base. Laryngoscope. 1984;94:1359–1364
  22. Schroeder HW, Gaab MR, Niendorf WR. Neuroendoscopic approach to arachnoid cysts. J Neurosurg. 1996;85(2):293–298
  23. Sekhar LN, Nanda A, Sen CN, Snyderman CN, Janecka IP. The extended frontal approach to tumors of the anterior, middle and posterior skull base. J Neurosurg. 1992;76:198–206
  24. Snyderman CH, Janecka IP, Sekhar LN, Sen CN, Eibling DE. Anterior cranial base reconstruction: role of galeal and pericranial flaps. Laryngoscope. 1990;100:607–614
  25. Stiernberg CM, Bailey BJ, Weiner RL, Calhoun KH, Quinn FB. Reconstruction of the anterior skull base following craniofacial resection. Arch Otolaryngol Head Neck Surg. 1987;113:710–712
  26. Toriumi DM, Cozzens J, Michael MA, Ossoff RH. Arachnoid cyst manifested as an ethmoid mass with cerebrospinal fluid rhinorrhea. Otolaryngol Head Neck Surg. 1987;97(4):406–408
  27. Tuomilehto H, Ronkainen A, Ikonen A. Headache induced by an arachnoid cyst of the sphenoid sinus: a rare diagnosis problem?. Eur Arch Otorhinolaryngol. 2008;265(1):135–137
  28. Venes J, Brunberg J. Cysts. In:  Apuzzo MLJ editors. Brain Surgery: Complication Avoidance and Management. New York: Churchill Livingstone; 1993;p. 2003–2023
  29. Weaver JP, Phillips C, Horowitz SL, Benjamin S. Middle fossa cyst presenting as a delayed complication of temporal lobectomy: Case report. Neurosurgery. 1996;38:1047–1051

PII: S1010-5182(09)00047-X

doi: 10.1016/j.jcms.2009.03.005

Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 4 , Pages 284-287 , June 2010