J Korean Ophthalmol Soc.  2009 Mar;50(3):481-485. 10.3341/jkos.2009.50.3.481.

A Case of Arachnoid Cyst With Floater Symptom

• Chang JK
• Kyung SE
• Jang MH

• KMID: 2111263
• DOI: http://doi.org/10.3341/jkos.2009.50.3.481

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.

Keyword

Arachnoid cyst; Subdural hemorrhage; Terson's syndrome

MeSH Terms

Arachnoid
Brain
Child
Eye
Headache
Hematoma, Subdural
Hemorrhage
Humans
Neurologic Manifestations
Parietal Lobe
Retinal Hemorrhage
Visual Acuity

Figure

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  Figure 1. The patient's fundus photograph at the first visit shows preretinal hemorrhage around the optic disc.

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  Figure 2. The patient's transverse brain MRI section shows subacute subdural hemorrhage in the frontal, temporal and parietal lobes.

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  Figure 3. The patient's transverse brain MRI section shows arachnoid cyst in the right temporal lobe.

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  Figure 4. The patient's fundus photograph after three months shows that there is no preretinal hemorrhage around the optic disc.

Reference

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