Recurrent terminal ventricle cyst: a case report

Abstract The terminal ventricle (TV) of Krause is a rare cystic dilation of the conus’ central canal. Due to limited understanding surrounding its pathophysiology, optimal management remains controversial. We report a 25-year-old female presenting with acute paraparesis. Magnetic resonance imaging s...

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Bibliographic Details
Published inJournal of surgical case reports Vol. 2021; no. 11
Main Authors Baig Mirza, Asfand, Visagan, Ravindran, Boardman, Timothy, Murphy, Christopher, Al-Ali, Bilal, Kellett, Christopher, Grahovac, Gordan
Format Journal Article
LanguageEnglish
Published Oxford University Press 01.11.2021
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Case Report
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Summary:Abstract The terminal ventricle (TV) of Krause is a rare cystic dilation of the conus’ central canal. Due to limited understanding surrounding its pathophysiology, optimal management remains controversial. We report a 25-year-old female presenting with acute paraparesis. Magnetic resonance imaging spine revealed a cystic conus medullaris lesion in keeping with an incidental TV cyst. However, the patient experienced a rapid resolution of symptoms. We hypothesize that the TV cyst spontaneously ruptured and auto-decompressed. To our knowledge, this is the first reported case of an enlarging symptomatic TV cyst with spontaneous rupture and resolution of symptoms, highlighting the variable natural history of this condition.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjab498