Quadrigeminal plate arachnoid cyst presenting with eye movement related migraine: a rare case report

Abstract

Quadrigeminal plate arachnoid cyst presenting with eye movement related migraine: a rare case report Yemima Graciela1 , Robert Shen2,3, Mardjono Tjahjadi4 Case Report/Series ABSTRACT 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. KEYWORDS arachnoid cysts, eye movement, microsurgery, migraine disorder