Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Arachnoid Cyst with Spontaneous Intracystic Hemorrhage and Chronic Subdural Hematoma

  • Hong, Joo-Chul (Department of Neurosurgery College of Medicine Yeungnam University) ;
  • Kim, Min-Soo (Department of Neurosurgery College of Medicine Yeungnam University) ;
  • Chang, Chul-Hoon (Department of Neurosurgery College of Medicine Yeungnam University) ;
  • Kim, Seong-Ho (Department of Neurosurgery College of Medicine Yeungnam University)
  • Published : 2008.01.28
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Abstract

We report a case of a patient with an arachnoid cyst in which subdural hematoma and intracystic hemorrhage developed spontaneously. Usually, arachnoid cysts are asymptomatic, but can become symptomatic because of cyst enlargement or hemorrhage, often after mild head trauma. Although they are sometimes combined with subdural hematoma, intracystic hemorrhage has rarely been observed. Our patient had a simultaneous subdural hematoma and intracystic hemorrhage without evidence of head trauma.

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References

  1. Albuquerque FC, Giannotta SL : Arachnoid cyst rupture producing subdural hygroma and intracranial hypertension : case reports. Neurosurgery 41 : 951-955; discussion 955-956, 1997 https://doi.org/10.1097/00006123-199710000-00036
  2. Arai H, Sato K, Wachi A, Okuda O, Takeda N : Arachnoid cysts of the middle cranial fossa : experience with 77 patients who were treated with cystoperitoneal shunting. Neurosurgery 39 : 1108-1112; discussion 1112-1103, 1996 https://doi.org/10.1097/00006123-199612000-00007
  3. Eustace S, Toland J, Stack J : CT and MRI of arachnoid cyst with complicating intracystic and subdural haemorrhage. J Comput Assist Tomogr 16 : 995-997, 1992 https://doi.org/10.1097/00004728-199211000-00034
  4. Galassi E, Piazza G, Gaist G, Frank F : Arachnoid cysts of the middle cranial fossa : a clinical and radiological study of 25 cases treated surgically. Surg Neurol 14 : 211-219, 1980
  5. Huang D, Abe T, Kojima K, Tanaka N, Watauabe M, Ohkura A, et al : Intracystic hemorrhage of the middle fossa arachnoid cyst and subdural hematoma caused by ruptured middle cerebral artery aneurysm. AJNR Am J Neuroradiol 20 : 1284-1286, 1999
  6. Iaconetta G, Esposito M, Maiuri F, Cappabianca P : Arachnoid cyst with intracystic haemorrhage and subdural haematoma : case report and literature review. Neurol Sci 26 : 451-455, 2006 https://doi.org/10.1007/s10072-006-0532-z
  7. LaCour F, Trevor R, Carey M : Arachnoid cyst and associated subdural hematoma. Observations on conventional roentgenographic and computerized tomographic diagnosis. Arch Neurol 35 : 84-89, 1978 https://doi.org/10.1001/archneur.1978.00500260022004
  8. Markwalder TM : Chronic subdural hematomas: a review. J Neurosurg 54 : 637-645, 1981 https://doi.org/10.3171/jns.1981.54.5.0637
  9. Mori K, Yamamoto T, Horinaka N, Maeda M : Arachnoid cyst is a risk factor for chronic subdural hematoma in juveniles : twelve cases of chronic subdural hematoma associated with arachnoid cyst. J Neurotrauma 19 : 1017-1027, 2002 https://doi.org/10.1089/089771502760341938
  10. Olsen NK, Madsen HH : Arachnoid cyst with complicating intracystic and subdural haemorrhage. Rontgenblatter 43 : 166-168, 1990
  11. Page AC, Mohan D, Paxton RM : Arachnoid cysts of the middle fossa predispose to subdural haematoma formation fact or fiction? Acta Neurochir Suppl (Wien) 42 : 210-215, 1988
  12. Parsch CS, Krauss J, Hofmann E, Meixensberger J, Roosen K : Arachnoid cysts associated with subdural hematomas and hygromas : analysis of 16 cases, long-term follow-up, and review of the literature. Neurosurgery 40 : 483-490, 1997 https://doi.org/10.1097/00006123-199703000-00010
  13. Rakier A, Feinsod M : Gradual resolution of an arachnoid cyst after spontaneous rupture into the subdural space. Case report. J Neurosurg 83 : 1085-1086, 1995 https://doi.org/10.3171/jns.1995.83.6.1085
  14. Rengachary SS, Watanabe I, Brackett CE : Pathogenesis of intracranial arachnoid cysts. Surg Neurol 9 : 139-144, 1978
  15. Sato K, Shimoji T, Yaguchi K, Sumie H, Kuru Y, Ishii S : Middle fossa arachnoid cyst : clinical, neuroradiological, and surgical features. Childs Brain 10 : 301-316, 1983
  16. van der Meche FG, Braakman R : Arachnoid cysts in the middle cranial fossa : cause and treatment of progressive and non-progressive symptoms. J Neurol Neurosurg Psychiatry 46 : 1102-1107, 1983 https://doi.org/10.1136/jnnp.46.12.1102
  17. Wester K : Gender distribution and sidedness of middle fossa arachnoid cysts : a review of cases diagnosed with computed imaging. Neurosurgery 31 : 940-944, 1992 https://doi.org/10.1227/00006123-199211000-00018

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