MedPix® Patient Chart - Case No: 1022 :: Imaging - Review Images

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History

Age: 31 :: Gender: man

Patient History

Chronic headache

Exam


Physical Exam and Laboratory

Normal


Findings


Summary of Findings

Fluid like signal intensity in the basilar cisterns - much larger than the normal subarchnoid space.


Diffferential


Differential Diagnosis

Arachnoid Cyst
Epidermoid Inclusion Cyst
Enlarged Subarachnoid Space


Diagnosis


Case Diagnosis

Dx: Arachnoid Cyst


Dx Confirmed by:




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Followup


Followup and Treatment

Several months later, the patient developed hypopituitary signs and symptoms. At that time a cisternogram confirmed free communication of CSF into the suprasellar cistern.

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History:
Chronic headache

Exam:
Normal

Findings:
Fluid like signal intensity in the basilar cisterns - much larger than the normal subarchnoid space.

Differential:
Arachnoid Cyst
Epidermoid Inclusion Cyst
Enlarged Subarachnoid Space

Diagnosis:
Arachnoid Cyst
Confirmed by:

Treatment and Followup:
Several months later, the patient developed hypopituitary signs and symptoms. At that time a cisternogram confirmed free communication of CSF into the suprasellar cistern.

Discussion:

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Case Contributor and Editor

Submitted by: James G. Smirniotopoulos, M.D. - Author Info
Case/Image Editor: - Editor Info
Case Accepted: :: Revised: :: Submitted:
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