A 14-Year-Old Male with a 10-Week History of Headaches

Edmondson, Luke E.; Upshaw, Jana E.; Tuuri, Rachel E.

doi:10.3928/00904481-20140522-04

Cited by 9 publications

(6 citation statements)

References 13 publications

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“…13 patients on admission presented with CSDH [5,[7][8][9][10][11][12][13][14][15][16]18,19]. 11 patients had midline shift [5,[7][8][9]11,12,15,16,18], in 1 case the midline structure was on axis [10]. and in 2 cases there was no mention on midline shift or other signs of raised intracranial pressure [14,19].…”

Section: Resultsmentioning

confidence: 99%

“…About surgical procedure, in our review 7 patients underwent single burr hole drainage and irrigation of the CSDH; the cyst was left intact as in our case [9,12,[14][15][16]18,19]. Six patients underwent an open craniotomy with cyst fenestration [5,7,8,11,13,19] In one of these, the patient with the subdural hygroma and midline shift, a cistoperitoneal shunt was also performed [13].…”

Section: Resultsmentioning

confidence: 99%

“…Intracystic hemorrhage was seen in 6 patients [5,[7][8][9]11,15]. In 6 patients there was no evidence of intracranial hemorrhage [9,10,12,14,18,19] In one case this particular was not reported [16].…”

Section: Resultsmentioning

confidence: 99%

“…There was not recurrence from the irst surgery in 13 cases [5,[7][8][9][10][11][12]14,15,[17][18][19], whereas in 2 cases no follow up was reported [13,16].…”

Section: Resultsmentioning

confidence: 99%

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Chronic subdural haematoma associated with arachnoid cyst of the middle fossa in a soccer player: Case report and review of the literature

Beretta¹,

Incerti²,

Raudino³

et al. 2020

Arch Case Rep

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…There was not recurrence from the irst surgery in 13 cases [5,[7][8][9][10][11][12]14,15,[17][18][19], whereas in 2 cases no follow up was reported [13,16].…”

Section: Resultsmentioning

confidence: 99%

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Chronic subdural haematoma associated with arachnoid cyst of the middle fossa in a soccer player: Case report and review of the literature

Beretta¹,

Incerti²,

Raudino³

et al. 2020

Arch Case Rep

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“…The rupture of SACs would result from the impact of the cyst against the ipsilateral sphenoidal wing or by the traumatic force directly acting on the cyst because of a thinned temporal bone [18,23]. The cause is usually represented by a head injury, often occurring during sport activities [10,27,30,48,60,106,136]. As mentioned, a traumatic event is reported "only" in a half of the patients but the relatively high rate of "spontaneous" ruptures might depend on misdiagnosed, mild traumas, or on events that are not considered traumatic (e.g.…”

Section: Etio-pathological Hypothesesmentioning

confidence: 99%

Ruptured Sylvian arachnoid cysts: an update on a real problem

et al. 2022

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Purpose Sylvian arachnoid cysts (SACs) are the most common type of arachnoid cysts and the most prone to undergo a rupture. This event is considered rare but potentially severe. No definite information is available on its occurrence or management. The goal of the present article is to provide an update on the epidemiological, etiological, and clinical aspects and the management of this peculiar clinical condition. Methods A comprehensive review of the English literature of the last 40 years on this topic has been realized. Moreover, a personal series of children investigated and treated in the last 20 years is presented. These patients were managed as follows: (1) treatment of the subdural collection; (2) identification of candidates for surgical treatment of the residual cyst (brain MRI, perfusion brain MRI, prolonged invasive ICP monitoring (selected cases), EEG, neuropsychological tests); (3) surgical treatment of the cyst in the patients with pathological perfusion MRI and/or ICP measurement and/or clear neurophysiological and neuropsychological correlations. Results A total of 446 patients (430 from the literature and 16 from the personal series), mainly children, adolescents, and young adults, have been analyzed leading to the following results: (1) SAC rupture is rare but not negligible (yearly risk of rupture: 0.04%; overall risk up to 10% in children affected by SCAs). Prophylactic surgery in asymptomatic cases is not advisable. (2) The mechanism of rupture is not known but an impact of SAC against the sphenoid wing and/or a direct injury on SAC through a thinned temporal bone, with possible laceration of the cyst wall vessels and/or tear of the bridging veins, can be hypothesized. A head injury is often not reported (may be misdiagnosed). (3) Subdural collection (hygroma > chronic hematoma) is the most common finding followed by intracystic bleeding, extradural hematoma, and other types of bleeding. Signs or symptoms of raised intracranial pressure are the most frequent ones. (4) The complication of the rupture is usually treated in emergency or in the acute period by burr hole or craniotomic evacuation of the subdural collection, although a conservative management is possible in some cases. Following the rupture, the majority of SACs are treated (70%), often at the same time of the complication, but no specific investigations are routinely performed to select candidates. According to our protocol, only 43.7% of SACs needed to be treated. Conclusions The “spontaneous” or posttraumatic rupture of SACs is a rare but potentially significant complication followed by a generally good outcome. The course of the cyst is independent from the outcome of the complication, consequently requiring specific investigations for individuating those lesions interfering with CSF dynamics and/or cerebral blood flow.

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