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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr0820103286.
Published online Nov 23, 2010. doi:  10.1136/bcr.08.2010.3286
PMCID: PMC3028544
Unusual association of diseases/symptoms
Asymptomatic supratentorial arachnoid cyst and symptomatic demyelination plaques: which one needs treatment?
Osama Shukir Muhammed Amin and Sa'ad Seud Shwani
Department of Neurology, Sulaimaniya General Teaching Hospital, Sulaimaniya City, Iraq
Correspondence to Osama Shukir Muhammed Amin, dr.osama.amin/at/
Intracranial arachnoid cysts are rare but the widespread use of brain imaging has disclosed many asymptomatic cysts. The authors report the case of a 37-year-old woman who presented with features suggestive of relapsing–remitting multiple sclerosis (MS). Her brain MRI revealed a moderately large arachnoid cyst in the right frontal area in addition to the periventricular plaques of MS. The cyst was an incidental imaging finding and the patient was asymptomatic prior to the development of MS.
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