Acute respiratory failure as a manifestation of an arachnoid cyst.

TitleAcute respiratory failure as a manifestation of an arachnoid cyst.
Publication TypeJournal Article
Year of Publication2008
JournalIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
Volume12
Issue1
Pagination42-5
ISSN0972-5229
Abstract

Arachnoid cysts are the most common congenital cystic lesions in the brain occurring in the middle fossa, suprasellar region and occasionally in the posterior fossa. Conventionally all cysts are considered as benign and symptoms are attributed to expansion of cysts causing compression of adjacent neurological structures, bleeds within the cyst or due to the development of acute hydrocephalus. We are reporting this case of a 15-year-old female patient with non-progressive weakness in the limbs since the age of seven years who presented with acute onset syncopal attacks and respiratory failure. She was intubated and ventilated. An magnetic resonance imaging scan showed large posterior fossa cyst extending up to mid second cervical vertebra causing compression of the medulla and pons, with mild hydrocephalus. After a failed attempt to wean her from the ventilator a cysto peritoneal shunt surgery was performed following which she was weaned from the ventilator successfully. Weakness in the upper and lower limbs, which had increased in the preceding month, also improved following the surgery.

URLhttp://www.ijccm.org/article.asp?issn=0972-5229;year=2008;volume=12;issue=1;spage=42;epage=45;aulast=Pillai
DOI10.4103/0972-5229.40951
Short TitleIndian J Crit Care Med
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