Middle fossa cyst presenting as a delayed complication of temporal lobectomy: case report.
case_report · Level V
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Abstract
Symptomatic middle fossa cysts have not previously been described as complications of temporal lobectomy that has been performed to control complex partial seizures. A patient is described who developed a middle fossa cyst causing mass effect, intracranial hypertension, and neurological deterioration > 2 years after temporal lobectomy for complex partial seizures. An enlarging cyst with cerebrospinal fluid imaging characteristics was detected on neuroimages 1 year before neurological deterioration. The patient was treated by the insertion of a cystoperitoneal shunt for cerebrospinal fluid diversion. The potential causes of an acquired arachnoid cyst and hydrocephalus are discussed.
Medical subject headings
- Arachnoid Cysts
- Epilepsy, Temporal Lobe
- Postoperative Complications
- Pseudotumor Cerebri
- Psychosurgery
- Temporal Lobe