Bilateral Subdural Hygroma in a Case with Sylvian Arachnoid Cyst

Document Type : Case Study

Authors

1 General physician, Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.

2 Professor of Pediatrics Neurology, Department of Pediatrics, Kashan University of Medical Sciences, Kashan, IR Iran.

3 Professor of neurosurgery, Department of Neurosurgery, Kashan University of Medical Sciences, Kashan, IR Iran.

4 Assistant professor of neurosurgery, Department of Neurosurgery, Kashan University of Medical Sciences, Kashan, IR Iran.

Abstract

Arachnoid cysts are congenital lesions arising from the arachnoid membrane. The incidence of arachnoid cysts in the general population is around 0.1% and their most common location is the middle fossa. Arachnoid cysts usually present during the childhood and are identified incidentally. When symptomatic, the most common presentations include headache and seizure. The popular treatment for this lesion is surgery. In this case report, we describe a 12 year-old boy with a middle cranial fossa arachnoid cyst presenting with progressive headache, and bilateral subdural hygroma following a trivial head trauma.

Keywords


  1. Van B, Sarioglu AC, O’Donnell HD. Supratentorial arachnoid cyst with intracystic and subdural hematoma. Neurochir 1992; 35: 199-203
  2. Kotil K, Balci N, Bilge T. Intracranial Symptomatic Giant Arachnoid Cyst of the Interhemispheric Fissure Presenting With Frontal Lobe Syndrome.Tur Neurosur 2007;17:147-151
  3. Yamasaki F, Kodama Y, Hotta T, Taniguchi E, Eguchi K, Yoshioka H, Arita K, Kurisu K. Interhemispheric arachnoid cyst in the elderly: case report and rexiew of the literature. Surg Neurol. 2003; 59(1):68-74.
  4. Schievink WI, Huston J 3rd, Torres VE, Marsh WR. Intracranial cysts in autosomal dominant polycystic kidney disease. .J Neurosurg. 1995; 83(6):1004-1007.
  5. da Silva JA, Alves A, Talina M, Carreiro S, Guimarães J, Xavier M. Arachnoid cyst in a patient with psychosis: Case report. Ann Gen Psychiatry. 2007; 28 (6):16.
  6. Gelabert-Gonzalez M. [Intracranial arachnoid cysts]. Rev Neurol.2004; 39(12):1161-6
  7. Rajesh A, Bramhaprasad V, Purohit AK. Traumatic rupture of arachnoid cyst with subdural hygroma. J Pediatric Neuroscience, 2012;7:33-35.
  8. Kertmen H, Gürer B, Yilmaz ER, SekerciZ.Chronic subdural hematoma associated with an arachnoid cyst in a juvenile taekwondo athlete: a case report and review of the literature: Pediatr Neurosurg. 2012; 48(1):55-8
  9. Haberkamp TJ, Monsell EM, House WF, Levine SC, Piazza L. Diagnosis and treatment of arachnoid cysts of the posterior fossa. Otolaryngol Head Neck Surg. 1990; 103(4):610-614.
  10. LaribiS,Chakroun O, Segal N. Intracranial symptomatic giant arachnoid cyst. SIGNA VITAE 2012; 7(1): 43-45.
  11. Iaconetta G, Esposito M, Maiuri F, Cappabianca P. Arachnoid cyst with intracystic hemorrhage and subdural hematoma: case report and literature review. Neurol Sci. 2006; 26(6):451-455.
  12. Berens P, Ostertag CB. ZystischeFehlbildungen des Gehins: Stereotaktische Diagnostik und Therapie. Nervenarzt 63:725–730.
  13. Cao GX. Intracranial arachnoid cyst: report of 23 cases. Chung Hua WaiKoTsaChih 27:426–427.
  14. Rengachary SS, Watanabe I. Ultra structure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol 40:61–83.
  15. Higashi S, Yamashita J, Yamamoto Y, Izumi K. Hemifacial spasm associated with cerebellopontin angle arachnoid cyst in a young adult. Surg Neurol. 1992; 37(4):289-292.
  16. Prabhu VC, Bailes JE. Choronic subdural hematoma complicating arachnoid cyst secondary to soccer–related head injury: Case report. Neurosurgery 2002; 50(1): 195-198.
  17. Clemenceau S, Carpenter A. Intracranial arachnoid cyst. Rev Neurol 1999; 155(7): 604-608.
  18. Bidaki R, Amin M. A Case of Conversion Disorder Associated With an Arachnoid Cyst, ASEAN Journal of Psychiatry, Vol. 13 (1), 2012.
  19. Bourekas EC, Raji MR, Dastur KJ, Francken GJ, Engle DJ, Nayak NT. Retroclival arachnoid cyst. AJNR Am J Neuroradiol. 1992; 13(1):353-354
  20. Meshkini.A, Meshkini.M. Two case series reports: 8 cases of Arachnoid Temporoparietal cysts (Middle Fossa & Sylvian fissure) and 2 cases of chronic subdural hematoma: Injury & violence journal. 2012;4(S1)