Is subduro-peritoneal shunt surgery the first or last resort in managing subdural effusion developing after supratentorial tumor surgery in infancy?

Traumatic intracranial aneurysm in the proximal part of the anterior cerebral artery in the pediatric population has not been documented so far. Here we report the case of a 4 year-old child who developed a pseudo-aneurysm after minor head trauma and was managed successfully with trapping of the aneurysm. A ventriculo-peritoneal shunt was placed as the child became dependent on extraventricular drain during the post-operative period. The patient made excellent recovery in neurological status within 1 month of post-operative clinical follow up.

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Case Report: Traumatic anterior cerebral artery aneurysm in a 4-year old child

Munakomi

Tamrakar

Chaudhary

et al. 2015

F1000Res

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Giant Arachnoid Cyst of Interhemispheric Fissure with Bilateral Extension across Midline Presenting with Seizure after Motor Vehicle Accident: A Serious Acute Post-Traumatic Complications and Management Review

Satyarthee¹

2017

Open J Trauma

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Intracranial arachnoid cyst (IHAC) is considered as rare congenital lesions. Usually the arachnoid cyst remains asymptomatic and incidentally picked -up on routine cranial imaging. Mostly, the intracranial arachnoid cyst is located in the sylvan fi ssure, cerebello-pontine angle, or suprasellar region. However, arachnoid cyst located in the interhemispheric fi ssure is regarded as extremely uncommon, however observed only in children due to clinical symptoms, however, extremely rare in adult. Till date only fi fteen such cases are reported in the western literature. Most of reported cysts were associated with extension from interhemispheric fi ssure to either one side across the midline. To the best of author's knowledge, current case is unique and represent fi rst case of giant IHAC in the western literature, with gigantic size associated with extension across the midline bilaterally and occurring in a relatively younger age and presenting with seizure, occurred two hours following trauma, also necessitated cystoperitoneal shunt surgery for associated raised intracranial pressure and noticed headache relief and control of seizure on antiepileptic medication noticed in the follow-up period.

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Is subduro-peritoneal shunt surgery the first or last resort in managing subdural effusion developing after supratentorial tumor surgery in infancy?

Cited by 2 publications

References 9 publications

Case Report: Traumatic anterior cerebral artery aneurysm in a 4-year old child

Case Report: Traumatic anterior cerebral artery aneurysm in a 4-year old child

Giant Arachnoid Cyst of Interhemispheric Fissure with Bilateral Extension across Midline Presenting with Seizure after Motor Vehicle Accident: A Serious Acute Post-Traumatic Complications and Management Review

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