Modern Rheumatology
ISSN: 1439-7595 (Print) 1439-7609 (Online) Journal homepage: http://www.tandfonline.com/loi/imor20
A huge congenital arachnoid cyst in a rheumatoid arthritis patient Y. Nanke, S. Kotake, H. Iseki & N. Kamatani To cite this article: Y. Nanke, S. Kotake, H. Iseki & N. Kamatani (2003) A huge congenital arachnoid cyst in a rheumatoid arthritis patient, Modern Rheumatology, 13:1, 95-95 To link to this article: http://dx.doi.org/10.3109/s101650300016
Published online: 02 Jan 2014.
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Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=imor20 Download by: [Washington University in St Louis]
Date: 05 November 2015, At: 21:18
Mod Rheumatol (2003) 13:95
© Japan College of Rheumatology and Springer-Verlag Tokyo 2003
Letter A huge congenital arachnoid cyst in a rheumatoid arthritis patient
Downloaded by [Washington University in St Louis] at 21:18 05 November 2015
Yuki Nanke · Shigeru Kotake · Hiroshi Iseki · Naoyuki Kamatani
Key words Huge · Cyst · Rheumatoid arthritis (RA)
To the Editor: A 34-year-old woman was examined for polyarthritis in November 2000. She had developed a severe headache 10 days previously. She had developed rheumatoid arthritis (Fig. 1) in 1998, and had been treated with prednisone and methotrexate at our outpatient clinic since February 2000. At the consultation, the presenting feature was polyarthritis
a
b
Fig. 2. Brain computed tomography in 2000
only, without the headache. There was no visual disturbance, seizures, lethargy, delayed development, or neurological deficit. Her blood pressure was normal, and she had no history of trauma. She was born of a full-term pregnancy and by normal vaginal delivery without prenatal complications. A computed tomography (CT) scan showed a huge arachnoid cyst in the left temporal lobe (Fig. 2), which was confirmed by magnetic resonance imaging (MRI). Electroencephalogram findings were normal. Arachnoid cysts may become symptomatic at any time of life, or may remain occult, appearing as incidental findings at autopsy. Most case reports are secondary to inflammation or trauma and related nervous system malformations.1,2 This case of a huge congenital arachnoid cyst without any neurological symptoms or signs in an adult patient with rheumatoid arthritis is very rare. Fig. 1. Radiograph of the patient’s feet in 1998
References Y. Nanke (*) · S. Kotake · H. Iseki · N. Kamatani Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan Tel. ⫹81-3-5269-1725; Fax ⫹81-3-5269-1726 e-mail: [email protected]
1. McCullough DC, Harbert JC, Manz HJ. Large arachnoid cysts at the cranial base. Neurosurgery 1980;6:76–81. 2. Averback P. Developmental arachnoid cysts of the posterior fossa: an analysis of 13 cases. Acta Neurochir 1977;39:181–6.
ISSN: 1439-7595 (Print) 1439-7609 (Online) Journal homepage: http://www.tandfonline.com/loi/imor20
A huge congenital arachnoid cyst in a rheumatoid arthritis patient Y. Nanke, S. Kotake, H. Iseki & N. Kamatani To cite this article: Y. Nanke, S. Kotake, H. Iseki & N. Kamatani (2003) A huge congenital arachnoid cyst in a rheumatoid arthritis patient, Modern Rheumatology, 13:1, 95-95 To link to this article: http://dx.doi.org/10.3109/s101650300016
Published online: 02 Jan 2014.
Submit your article to this journal
Article views: 1
View related articles
Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=imor20 Download by: [Washington University in St Louis]
Date: 05 November 2015, At: 21:18
Mod Rheumatol (2003) 13:95
© Japan College of Rheumatology and Springer-Verlag Tokyo 2003
Letter A huge congenital arachnoid cyst in a rheumatoid arthritis patient
Downloaded by [Washington University in St Louis] at 21:18 05 November 2015
Yuki Nanke · Shigeru Kotake · Hiroshi Iseki · Naoyuki Kamatani
Key words Huge · Cyst · Rheumatoid arthritis (RA)
To the Editor: A 34-year-old woman was examined for polyarthritis in November 2000. She had developed a severe headache 10 days previously. She had developed rheumatoid arthritis (Fig. 1) in 1998, and had been treated with prednisone and methotrexate at our outpatient clinic since February 2000. At the consultation, the presenting feature was polyarthritis
a
b
Fig. 2. Brain computed tomography in 2000
only, without the headache. There was no visual disturbance, seizures, lethargy, delayed development, or neurological deficit. Her blood pressure was normal, and she had no history of trauma. She was born of a full-term pregnancy and by normal vaginal delivery without prenatal complications. A computed tomography (CT) scan showed a huge arachnoid cyst in the left temporal lobe (Fig. 2), which was confirmed by magnetic resonance imaging (MRI). Electroencephalogram findings were normal. Arachnoid cysts may become symptomatic at any time of life, or may remain occult, appearing as incidental findings at autopsy. Most case reports are secondary to inflammation or trauma and related nervous system malformations.1,2 This case of a huge congenital arachnoid cyst without any neurological symptoms or signs in an adult patient with rheumatoid arthritis is very rare. Fig. 1. Radiograph of the patient’s feet in 1998
References Y. Nanke (*) · S. Kotake · H. Iseki · N. Kamatani Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan Tel. ⫹81-3-5269-1725; Fax ⫹81-3-5269-1726 e-mail: [email protected]
1. McCullough DC, Harbert JC, Manz HJ. Large arachnoid cysts at the cranial base. Neurosurgery 1980;6:76–81. 2. Averback P. Developmental arachnoid cysts of the posterior fossa: an analysis of 13 cases. Acta Neurochir 1977;39:181–6.
