Recurrent terminal ventricle cyst: a case report. Issue 11 (11th November 2021)

• Record Type: Journal Article
• Authors: Baig Mirza, Asfand; Visagan, Ravindran; Boardman, Timothy; Murphy, Christopher; Al-Ali, Bilal; Kellett, Christopher; Grahovac, Gordan
• Is Part Of: Journal of surgical case reports. Volume 2021:Issue 11(2021)
• Publication Date: 2021-11-11
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjab498
• Languages: English
• ISSNs: 2042-8812

Abstract

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.