Giant intradiploic arachnoid cyst for 13 years

Verma, Satish; Satyarthee, Guru Dutta; Sharma, Bhawani Shankar

doi:10.4103/1817-1745.139318

Cited by 6 publications

(8 citation statements)

References 14 publications

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“…Surgical management is the mainstay of treatment of PTIDLCs and indications for surgery include large disfiguring swelling and persistent headache [ 7 , 15 , 16 ]. The surgical procedure involves watertight dural closure using duraplasty followed by cranioplasty using autologous split calvarial graft and carries a good prognosis.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Intradiploic Leptomeningeal Cyst: A Rare Complication of Head Trauma

Bava

Bansal

Patil

et al. 2015

Case Reports in Radiology

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Posttraumatic intradiploic leptomeningeal cyst is an exceedingly uncommon complication of skull fracture in childhood with only about twenty-one cases described in literature till now. We report 2 such cases of intradiploic leptomeningeal cyst of occipital bone in two 17- and 21-year-old males presenting with headache with history of occipital bone fracture in childhood and briefly discuss its pathogenesis and differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

Posttraumatic Intradiploic Leptomeningeal Cyst: A Rare Complication of Head Trauma

Bava

Bansal

Patil

et al. 2015

Case Reports in Radiology

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“…Механизм возникновения арахноидальной кисты черепа изучается. В ряде случае удается установить связь с черепно-мозговой травмой, обычно в детском возрасте [14]. В таком случае лоскут арахноидальной оболочки попадает в диплоэ кости через посттравматические дефекты ТМО и внутренней кортикальной пластинки черепа.…”

Section: Russian Journal Of Neurosurgeryunclassified

Intraosseous arachnoid cyst of the skull. Clinical case

Nikitin

Nanaev

2020

Nejrohirurgiâ (Mosk.)

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The objective is to describe the clinical case of arachnoid cyst of occipital bone.Case report. Patient with arachnoid cyst of occipital bone was treated in the clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry. The patient had severe pain in the occipital region for several years, conservative treatment was ineffective. Neuroimaging revealed an unusual intraosseous defect in the occipital bone. A partial resection of the occipital bone was performed and cranioplasty was made. During operation it was discovered that the patient had an intraosseous arachnoid cyst, the diagnosis was further confirmed by histological examination. After surgery, regression of pain in the occipital region was noted.Conclusion. The intraosseous arachnoid cyst of the skull is an extremely rare and can cause a severe local headache. Surgery is an effective treatment of this pathology.

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“…The term “intradiploic arachnoid cyst” was first described by Weinand et al [ 2 ], when cranial arachnoid cysts developed as folded extensions of the arachnoid membrane through minor defects in the dura mater, eroded through the inner table, expanded within the diploe, and eroded the outer table of the skull [ 2 ]. Cerebrospinal fluid accumulation within the diploic space is extremely rare [ 3 ]. Intradiploic cerebrospinal fluid (CSF) collections can occur due to trauma but can also be non-traumatic.…”

Section: Introductionmentioning

confidence: 99%

“…Rarely, these cysts may also appear when there is no trauma in the patient's history. On the other hand, generally, intradiploic arachnoid cysts, or leptomeningeal cysts, occur after a head trauma or a cranial surgical intervention [ 3 ]. In the literature, these cysts are called “intradiploic CSF fistula”, “intraosseous leptomeningeal cysts”, and traumatic or post-traumatic “intradiploic arachnoid cysts”.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Meningitis After a Post-Traumatic Intradiploic Arachnoid Cyst: A Case Report

Yangi¹,

Kaynar²

2023

Cureus

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Intradiploic arachnoid cysts are infrequent but benign lesions of the central nervous system. Etiologically, they can be non-traumatic or post-traumatic in origin. We present an unusual case of a post-traumatic intradiploic arachnoid cyst presented with recurrent meningitis episodes. A 68-year-old female patient was admitted to the emergency department with fever and loss of consciousness, with a history of cranial operation due to a gunshot injury to the left occipital bone 45 years ago. On the patient's initial examination, nuchal rigidity was detected; Kernig's and Brudzinski's signs were positive. A lumbar puncture has been performed, and the patient is diagnosed with meningitis. The patient had been admitted to the emergency department with rhinorrhea after a minor blunt head trauma six years ago. As we understood from the patient's medical records, a couple of millimetric non-specified pneumocephalus areas, located next to the sella turcica, were detected on the cranial non-contrast-enhanced CT scan after the minor blunt trauma to the frontal bone. However, there was no sign of any obvious skull base fracture. The patient was hospitalized for five days and discharged on the sixth day without any complaints. After the discharge, the patient was admitted to other hospitals five times in the last five years with fever and anxiety. On all her admissions, the patient was diagnosed with CSF-culture-negative meningitis and treated with different unknown antibiotics. Magnetic resonance imaging (MRI) showed some irregularities and thinning at the inner table of the left occipital bone; there was an enlargement of the diploic distance of the occipital bone on the left side. MR cisternography showed cerebrospinal fluid (CSF) fistulizing areas just below the thickened and irregular part of the occipital bone. CSF fistula was communicated with the left lateral ventricle. The occipital horn of the left lateral ventricle was enlarged. We performed a surgical repair in order to cover the defective areas of the occipital and mastoid bones. The retromastoid approach was used. Pedunculated muscle flaps to cover the defective bony areas are used and secured with fibrin glue. There is no evidence of recurrence during the one-year follow-up period of the patient. We present this unusual case to emphasize that if post-traumatic intradiploic arachnoid cysts remain untreated, severe complications, such as episodes of recurrent meningitis, may occur. Although a few cases of these cysts are reported in the literature, a case of post-traumatic intradiploic arachnoid cyst presenting with recurrent meningitis has not been reported. In patients with recurrent meningitis, when no prominent etiology is found and if there is a trauma to the related bone in the patient's history, post-traumatic intradiploic arachnoid cyst should be included in the differential diagnosis.

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Giant intradiploic arachnoid cyst for 13 years

Cited by 6 publications

References 14 publications

Posttraumatic Intradiploic Leptomeningeal Cyst: A Rare Complication of Head Trauma

Posttraumatic Intradiploic Leptomeningeal Cyst: A Rare Complication of Head Trauma

Intraosseous arachnoid cyst of the skull. Clinical case

Recurrent Meningitis After a Post-Traumatic Intradiploic Arachnoid Cyst: A Case Report

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