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Rupture of Middle Fossa Arachnoid Cyst Simulating New-Onset Migraine With Aura

Authors

  • Raquel Gil-Gouveia MD,

    1. From the Department of Neurosciences, Instituto de Medicina Molecular, University of Lisboa, Lisboa, Portugal (R. Gil-Gouveia); Hospital da Luz, Lisboa, Portugal (R. Gil-Gouveia, J. Miguens, and D. Coiteiro).
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  • José Miguens MD,

    1. From the Department of Neurosciences, Instituto de Medicina Molecular, University of Lisboa, Lisboa, Portugal (R. Gil-Gouveia); Hospital da Luz, Lisboa, Portugal (R. Gil-Gouveia, J. Miguens, and D. Coiteiro).
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  • Domingos Coiteiro MD

    1. From the Department of Neurosciences, Instituto de Medicina Molecular, University of Lisboa, Lisboa, Portugal (R. Gil-Gouveia); Hospital da Luz, Lisboa, Portugal (R. Gil-Gouveia, J. Miguens, and D. Coiteiro).
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  • Conflict of Interest: None

R. Gil-Gouveia, Hospital da Luz, Av. Lusíada 100, 1500-650 Lisboa, Portugal.

Abstract

(Headache 2010;50:314-322)

Arachnoid cysts represent a common, innocent, finding in routine neuroimaging of headache patients. We present the first report of symptomatic migraine with aura caused by the spontaneous rupture of a middle fossa arachnoid cyst into the subdural space. Brain imaging enabled an accurate diagnosis and, subsequently, adequate surgical management.

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