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Tectal plate cyst in adults.
Acta Neurochir (Wien). 2006 Jul; 148(7):805-8; discussion 808.AN

Abstract

Tectal plate cysts are very rare. We report two adult patients with benign tectal plate cyst and secondary hydrocephalus. The first patient had an unusual eye movement disorder with bilateral upper eyelid retraction (Collier's sign), limited upgaze, severe upgaze evoked nystagmus and retraction nystagmus. The second patient presented with ataxia and failure of upward gaze. Endoscopic fenestration of the tectal plate cyst and endoscopic third ventriculostomy in both cases result in neurological improvement. To the best of our knowledge, similar lesions at this site have not been reported in adults. The differential diagnosis with arachnoid cysts of the quadrigeminal CSF cistern is discussed.

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Authors+Show Affiliations

Kumar V
Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK.
Peng EW
No affiliation info available
Fitzpatrick MO
No affiliation info available
Whittle IR
No affiliation info available

MeSH

AdultAge FactorsAtaxiaCentral Nervous System CystsEndoscopyEye MovementsFemaleHumansHydrocephalusMagnetic Resonance ImagingMaleNeural PathwaysNeurosurgical ProceduresOcular Motility DisordersSuperior ColliculiTectum MesencephaliTreatment OutcomeVentriculostomy

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16523227

Citation

Kumar, V, et al. "Tectal Plate Cyst in Adults." Acta Neurochirurgica, vol. 148, no. 7, 2006, pp. 805-8; discussion 808.
Kumar V, Peng EW, Fitzpatrick MO, et al. Tectal plate cyst in adults. Acta Neurochir (Wien). 2006;148(7):805-8; discussion 808.
Kumar, V., Peng, E. W., Fitzpatrick, M. O., & Whittle, I. R. (2006). Tectal plate cyst in adults. Acta Neurochirurgica, 148(7), 805-8; discussion 808.
Kumar V, et al. Tectal Plate Cyst in Adults. Acta Neurochir (Wien). 2006;148(7):805-8; discussion 808. PubMed PMID: 16523227.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tectal plate cyst in adults. AU - Kumar,V, AU - Peng,E W K, AU - Fitzpatrick,M O, AU - Whittle,I R, Y1 - 2006/03/08/ PY - 2005/09/29/received PY - 2005/12/20/accepted PY - 2006/3/9/pubmed PY - 2006/10/4/medline PY - 2006/3/9/entrez SP - 805-8; discussion 808 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 148 IS - 7 N2 - Tectal plate cysts are very rare. We report two adult patients with benign tectal plate cyst and secondary hydrocephalus. The first patient had an unusual eye movement disorder with bilateral upper eyelid retraction (Collier's sign), limited upgaze, severe upgaze evoked nystagmus and retraction nystagmus. The second patient presented with ataxia and failure of upward gaze. Endoscopic fenestration of the tectal plate cyst and endoscopic third ventriculostomy in both cases result in neurological improvement. To the best of our knowledge, similar lesions at this site have not been reported in adults. The differential diagnosis with arachnoid cysts of the quadrigeminal CSF cistern is discussed. SN - 0001-6268 UR - https://www.unboundmedicine.com/medline/citation/16523227/Tectal_plate_cyst_in_adults_ L2 - https://dx.doi.org/10.1007/s00701-006-0737-1 DB - PRIME DP - Unbound Medicine ER -