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Benign occipital unicameral bone cyst causing lower cranial nerve palsies complicated by iophendylate arachnoiditis
  1. W. G. Bradley,
  2. R. M. Kalbag,
  3. P. S. Ramani,
  4. B. E. Tomlinson
  1. Department of Neurology, Newcastle University Hospitals Group, and the University of Newcastle upon Tyne
  2. Department of Neurosurgery, Newcastle University Hospitals Group, and the University of Newcastle upon Tyne
  3. Department of Neuropathology, Newcastle University Hospitals Group, and the University of Newcastle upon Tyne

    Abstract

    A 20 year old girl presented with a history of neck and occipital pain for six weeks, which was found to be due to a unicameral bone cyst of the left occipital condylar region. The differential diagnosis of bone cysts in the skull is discussed. Six months after the operation, the patient again presented with backache due to adhesive arachnoiditis. The latter was believed to have arisen as a result of a combination of spinal infective meningitis and intrathecal ethyl iodophenyl undecylate (iophendylate, Myodil, Pantopaque). The nature of meningeal reactions to iophendylate and the part played by intrathecal corticosteroids in relieving the arachnoiditis in the present case are discussed.

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