Volume 1, Issue 3, Pages (September 2014)

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Volume 1, Issue 3, Pages 50-52 (September 2014) Usefulness of fast imaging employing steady-state acquisition magnetic resonance images for appropriate fenestration in a recurrent convexity arachnoid cyst Motomasa Furuse, MD, PhD, Ryo Hiramatsu, MD, PhD, Naokado Ikeda, MD, PhD, Yoji Tamura, MD, PhD, Toshihiko Kuroiwa, MD, PhD Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Volume 1, Issue 3, Pages 50-52 (September 2014) DOI: 10.1016/j.inat.2014.06.002 Copyright © 2014 The Authors Terms and Conditions

Fig. 1 A: Preoperative MR image revealing a massive convexity arachnoid cyst in the temporal lobe. B: The cyst had shrunk after the first surgery (membranectomy). C: MR image taken 2years after the second surgery showing that the cyst had almost disappeared. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2014 1, 50-52DOI: (10.1016/j.inat.2014.06.002) Copyright © 2014 The Authors Terms and Conditions

Fig. 2 A: The cyst enlarged again, and FIESTA MR images showed the membrane between the cyst and the distal sylvian fissure (arrows) and the branch of the middle cerebral artery arising from the distal sylvian fissure through the cyst membrane (arrowheads). B: Postoperative MR images revealing the pore between the cyst and the distal Sylvian fissure (arrows) and the MCA branch arising through the pore to the cortical surface (arrowheads). Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2014 1, 50-52DOI: (10.1016/j.inat.2014.06.002) Copyright © 2014 The Authors Terms and Conditions

Fig. 3 A, B: Intraoperative photographs showing the border between the cyst and the normal brain (dotted line) and preoperative FIESTA MR images revealed the membrane around the branch of the MCA between the cyst and the distal sylvian fissure (circle). C: The membrane was dissected and resected, and the cyst was connected to the distal sylvian fissure. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2014 1, 50-52DOI: (10.1016/j.inat.2014.06.002) Copyright © 2014 The Authors Terms and Conditions