Positional Vertigo and Arachnoid Cyst of the Ponto-cerebellar Angle: A Case Report

Chebaatha Anas *

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

R. Hafed

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

S. Halily

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Y. Oukessou

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

S. Rouadi

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

R. Abada

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

M. Roubal

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

M. Mahtar

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

*Author to whom correspondence should be addressed.


Abstract

Arachnoid cysts represent 1% of all intracranial lesions [1]. They can be localized at the level of the posterior fossa. These cysts are usually asymptomatic. But they can sometimes be responsible for a variety of nonspecific symptoms such as headache and dizziness [2]. We present here a clinical case of an arachnoid cyst of the ponto-cerebellar angle causing positional vertigo.

Keywords: Arachnoid cysts, vertigo, cranial fossa, cerebrospinal fluid


How to Cite

Anas, Chebaatha, R. Hafed, S. Halily, Y. Oukessou, S. Rouadi, R. Abada, M. Roubal, and M. Mahtar. 2022. “Positional Vertigo and Arachnoid Cyst of the Ponto-Cerebellar Angle: A Case Report”. Asian Journal of Case Reports in Surgery 5 (2):385-90. https://www.journalajcrs.com/index.php/AJCRS/article/view/333.

Downloads

Download data is not yet available.

References

Di Stadio A, Della Volpe A, Ralli M, et al. A minimally invasive endoscope assisted retrosigmoid approach for removal of arachnoid cysts in the internal auditory canal: a step by step description [published online ahead of print, 2019 Aug 6]. Braz J. Otorhinolaryngol. 2019;S1808-8694(19): 30085-0.

DOI: 10.1016 / j.bjorl.2019.06.016

Anand Sharma, Achal Sharma, Radhey S. Mittal & Ashok Gandhi. Bilateral cerebellopontine arachnoid cyst: A rare entity, British Journal of Neurosurgery. 2015;29:4,576-578.

DOI: 10.3109 / 02688697.2015.1015100

Gurkas E, Altan BY, Gücüyener K, Kolsal E. Cerebellopontine angle arachnoid cyst associated with mirror movements. Journal of Pediatric Neurosciences. 2015;10(4): 371.

Yerli H, Kansu L, Cabbarpur C, Aydin E. Arachnoid Cyst of the Cerebellopontine Angle: A Case Report. Journal of International Advanced Otology. 2009;5(2).

Liang C, Zhang B, Wu L, Du Y, Wang X, Liu C, Yu F. The superiority of 3D-CISS sequence in displaying the cisternal segment of facial, vestibulocochlear nerves and their abnormal changes. European Journal of Radiology. 2010; 74(3):437–440.

DOI: 10.1016 / j.ejrad.2009.03.049

Di Stadio A. Arachnoid cyst of internal auditory canal: how the temporal bone findings explain ear symptoms and suggest the best treatment to do. Otolaryngol Open J. 2016;2:125 --- 31.

Ungar OJ, Franck M, Nadol JB, Santos F. Arachnoid cysts of the internal auditory channel: An underappreciated entity ?. Laryngoscope. 2019; 129 (7):1667-1674.

DOI: 10.1002 / lary.27601

Li L, Begbie F, Grimmond N, Kontorinis G. Arachnoid cysts on magnetic resonance imaging: just an incidental finding ?. J Laryngol Otol. 2020;134 (5):424-430.

DOI: 10.1017 / S0022215120000808

Zada G, Krieger MD, McNatt SA, Bowen I, McComb JG. Pathogenesis 2. and treatment of intracranial arachnoid cysts in pediatric patients younger than 2 years of age. Neurosurg Focus 2007;22:E1.

Apin I, Gravel J. B Auditory neuropathy: physiologic and pathologic evidence calls for more diagnostic specificity. Int J Pediatr Otorhinolaryngol. 2003;67(7): 707–728

Gangemi M, Maiuri F, Colella G, Sardo L. Endoscopic Surgery for Large Posterior Fossa Arachnoid Cysts. Min - Minimally Invasive Neurosurgery. 2001;44(1):21–24.

DOI: 10.1055 / s-2001-13588