A Case of Arachnoid Cyst With Floater Symptom

June Kyu Chang; Sung Eun Kyung; Moo Hwan Jang

doi:10.3341/jkos.2009.50.3.481

Journal List > J Korean Ophthalmol Soc > v.50(3) > 1008511

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Chang, Kyung, and Jang: A Case of Arachnoid Cyst With Floater Symptom

Original Article

J Korean Ophthalmol Soc 2009;50(3):481-485.

Published online: 31 August 2009

DOI: https://doi.org/10.3341/jkos.2009.50.3.481

A Case of Arachnoid Cyst With Floater Symptom

June Kyu Chang, MD, Sung Eun Kyung, MD, Moo Hwan Jang, MD

Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea

Address reprint requests to Seong Eun Kyung, MD, Department of Ophthalmology, Dankook University College of Medicine Hostipal #San 16-5 Anseo-dong, Cheonan, Chungnam 330-714, Korea Tel: 82-41-550-6377. Fax: 82-41-561-0137, E-mail: kseeye@hanmail.net

Received 7 September 2007 Accepted 16 September 2008

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of a 9-year-old girl who complained of a floater symptom due to preretinal hemorrhage, subdural hemorrhage and arachnoid cyst.

Case summary

A 9-year-old girl presented to our clinic with floater symptom in her right eye and a headache. Her corrected visual acuities were 20/20 in both eyes. Preretinal hemorrhage around the optic disc in both eyes was observed. Brain MRI revealed subdural hemorrhage on the frontal, temporal, and parietal lobes, and the arachnoid cyst in the right fronto-temporal lobe. One year later, the preretinal hemorrhages were absorbed.

Conclusions

Arare case of concomitant preretinal and spontaneous subdural hemorrhage with arachnoid cyst was presented. The utilization of brain MRI is recommended to determine underlying causes when fundus examination reaveals retinal hemorrhage without trauma, systemic disease and neurologic symptom.

Keywords: Arachnoid cyst, Subdural hemorrhage, Terson's syndrome

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Figure 1.

The patient's fundus photograph at the first visit shows preretinal hemorrhage around the optic disc.

Figure 2.

The patient's transverse brain MRI section shows subacute subdural hemorrhage in the frontal, temporal and parietal lobes.

Figure 3.

The patient's transverse brain MRI section shows arachnoid cyst in the right temporal lobe.

Figure 4.

The patient's fundus photograph after three months shows that there is no preretinal hemorrhage around the optic disc.

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