Middle fossa cyst presenting as a delayed complication of temporal lobectomy: case report
Department of Neurosurgery; Department of Neurology; Department of Psychiatry
Adult; Arachnoid Cysts; Epilepsy, Temporal Lobe; Female; Humans; Magnetic Resonance Imaging; Postoperative Complications; Pseudotumor Cerebri; *Psychosurgery; Reoperation; Temporal Lobe; Tomography, X-Ray Computed; Ventriculoperitoneal Shunt
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.
Neurosurgery. 1996 May;38(5):1047-50; disussion 1050-1. Link to article on publisher's website
Weaver JP, Phillips C, Horowitz SL, Benjamin S. (1996). Middle fossa cyst presenting as a delayed complication of temporal lobectomy: case report. Psychiatry Publications. Retrieved from https://escholarship.umassmed.edu/psych_pp/458