Chronic subdural hematoma associated with arachnoid cyst of the middle fossa : surgical treatment and mid-term results in fifteen patients.

Abstract

Greater prevalence of ACs in patients with CSDHs has been reported in the literature. We recommend the drainage of the hematoma via a single craniostomy and to leave the AC intact as the first choice of treatment if the associated AC is a Galassi type I or II. Additional subduroperitoneal shunting may be performed in patients with Galassi type III cyst.

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

“…In Galassi type III if there is swelling and CSF istula on the operation site or recurrence of the hematoma, additional subduroperitoneal shunting may be performed after the burr hole drainage. In their study they reported that AC fenestration carries some risk of morbidity, such as rebleeding, epidural hematoma or subdural hygroma; so they assume that treating the AC during hematoma drainage is not necessary unless the AC causes symptoms [36]. https://doi.org/10.29328/journal.acr.1001037…”

Multiple etiologies of secondary headaches associated with arachnoid cyst, cerebrospinal fluid hypovolemia, and nontraumatic chronic subdural hematoma in an adolescent: A case report

“…[8] However, the optimal treatment strategy for CSDH with AC hemorrhage is still controversial. [12] Reported successful initial treatments are CSDH drainage by burr-hole surgery, [10,12] CSDH evacuation and AC membrane removal, [12,15] and CSDH evacuation and AC membrane fenestration. [4,12,15] Diagnoses, etiologies, and treatments in our patient e AC existed before CSF hypovolemia in our case.…”

“…[12] Reported successful initial treatments are CSDH drainage by burr-hole surgery, [10,12] CSDH evacuation and AC membrane removal, [12,15] and CSDH evacuation and AC membrane fenestration. [4,12,15] Diagnoses, etiologies, and treatments in our patient e AC existed before CSF hypovolemia in our case. Because the symptoms caused by CSF hypovolemia were resolved without recurrence on conservative treatment, spinal investigation was not performed.…”