以眼动相关偏头痛为表现的四叉肌板蛛网膜囊肿:罕见病例报告

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Medical Journal of Indonesia Pub Date : 2023-10-20 DOI:10.13181/mji.cr.236858
Yemima Graciela, Robert Shen, Mardjono Tjahjadi
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引用次数: 0

摘要

II型蛛网膜囊肿是成人中最罕见的蛛网膜囊肿类型(10%患病率),通常无症状。我们报告了一例罕见的慢性右侧偏头痛,由右眼内收引起,右眼内收疼痛和干眼症状,患者为47岁女性,患有四叉神经蛛网膜囊肿,经放射检查证实,其顶板、蚓部和小脑上内侧部分受压。保守治疗1年无改善,手术干预前。显微手术切除囊肿并开窗,随访3个月后,所有症状立即缓解。这些发现应该有助于临床医生考虑对与神经功能相关的慢性症状的患者进行手术干预,这些患者在初始治疗后没有得到改善。
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Quadrigeminal plate arachnoid cyst presenting with eye movement related migraine: a rare case report
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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来源期刊
Medical Journal of Indonesia
Medical Journal of Indonesia MEDICINE, GENERAL & INTERNAL-
CiteScore
1.00
自引率
20.00%
发文量
25
审稿时长
24 weeks
期刊介绍: Medical Journal of Indonesia is a peer-reviewed and open access journal that focuses on promoting medical sciences generated from basic sciences, clinical, and community or public health research to integrate researches in all aspects of human health. This journal publishes original articles, reviews, and also interesting case reports. Brief communications containing short features of medicine, latest developments in diagnostic procedures, treatment, or other health issues that is important for the development of health care system are also acceptable. Letters and commentaries of our published articles are welcome.
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