- Timeline for events and follow-ups of the patient.
| Dates | Relevant past medical history and interventions | ||
|---|---|---|---|
| 2011 | A 71-year-old male patient, with a medical history including hypertension, dyslipidemia, hypothyroidism, and coronary stent placement a decade ago, in addition to a prior left donor nephrectomy. | ||
| Dates | Summaries from initial and follow-up visits/events | Diagnostic testing | Interventions |
| 2011 | Initial visit: Bilateral shoulder and arm pain. | Clinical and radiological assessments reveal cervical arachnoid cyst | Anterior C5 corpectomy, cyst excision, and C4–C6 vertebrae fusion |
| 2011 | Postoperative event | MRI: shows CSF leakage | Lumboperitoneal (LP) shunt insertion to manage CSF leakage |
| 2019 | Follow-up visit: Recurrence of symptoms (bilateral shoulder and arm pain for 3 months) | MRI: Showed cyst progression | Revision of LP shunt due to elevated CSF opening pressures (>25 cm) |
| 2019 | Postoperative: Improvement in symptoms | Postoperative imaging (MRI): Indicated cyst regression | Follow up |
| 2022 | Follow-up visit: Recurrent symptoms (headache, dizziness, altered consciousness) | MRI and CT scans: Confirmed subdural collections and intracranial hypotension due to LP overshunting | LP shunt Clamping |
| 2023 | Follow-up visit: Persistent symptoms (shoulder and arm pain, headache, dizziness) | MRI: cyst progression | Insertion of a right frontal ventriculoperitoneal (VP) shunt with a medium-pressure valve under laparoscopic guidance |
| 2023 | Follow-up visit: Significant improvement in symptoms (resolution of headache, dizziness) | Follow-up imaging: Documented regression of the cervical cyst | Follow up |
| 2023 | Follow-up visit: Stability in neurological function | N/A | Confirmed success of VP shunt intervention |