Treatment of recurrent chronic subdural hematoma in a patient with Arachnoid cyst

Djilvesi, Djula; Vuleković, Petar; Cigić, Tomislav; Kojadinovic, Zeljko; Horvat, Igor; Karan, Mladen

doi:10.2298/mpns0910469d

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…A possible explanation for this is probably the more substantial compression of pyramidal tracts and serious metabolic changes in specific regions of the brain parenchyma which are affected by the compressive effect of CSDH. In [12,13]. It may be interesting to state that CSDHs were diagnosed more frequently during spring and summer months.…”

Section: Discussionmentioning

confidence: 93%

The question is whether hemiparesis is more common in unilateral than bilateral chronic subdural hematoma

2014

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The site and the form of intracranial lesion-chronic subdural hematoma could have a great influence on neurological and functional condition in a patient. Although the length of time required for making diagnosis as well as clinical symptoms greatly differ and the latter are not always so clear, physicians should maintain a high level of suspicion for this disease and thus contribute to prompt diagnosis and better clinical outcome of patients.

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Section: Discussionmentioning

confidence: 93%

The question is whether hemiparesis is more common in unilateral than bilateral chronic subdural hematoma

2014

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“…[44] Reviewing the literature, we found 57 reports published during 1976-2019, with a total number of 183 cases of CSDH in association with AC with age ranging between 3 years and 58 years [Table 1]. [1,7,8,[11][12][13][14][15][16][17][20][21][22]25,26,29,30,33,34,36,39,40,42,45,46,48,[54][55][56][57][58][59][60]63,64,[66][67][68][69][70][71] ere were 31 single case reports, 12 publications reporting on 2-3 patients, and 14 case series reporting on 5-16 patients. ere are some data to support that the coexistence of CSDH and AC is not incidental, and two pathogenic mechanisms were proposed to explain such association.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous chronic subdural hematoma associated with arachnoid cyst in a child: A case report and critical review of the literature

Sayer¹,

Alanezi²,

Zaidan³

2022

Surgical Neurology International

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Background: Arachnoid cysts (ACs) are benign, congenital, fluid-filled collection between two layers of the arachnoid membrane accounting for about 1% of all the intracranial space occupying lesions. These lesions are usually asymptomatic and detected incidentally by magnetic resonance imaging (MRI) or computed tomography scan imaging (CT). However, these lesions can present as spontaneous chronic subdural hematoma (CSDH) causing neurological deficits that require neurosurgical intervention. Case Description: We report a case of CSDH associated with AC in a 14-year-old Kuwaiti boy who presented with a 2 weeks history of headache, which was worsening over the time. Brain CT scan demonstrated a left frontotemporal large CSDH in contact with an underlying temporal AC that appeared isodense to the CSF. The patient underwent an emergency surgery to evacuate the CSDH through a burr hole, while the AC was left intact. During the postoperative period, the patient showed good recovery in terms of neurological symptoms. Follow-up MRI showed stable size of the AC with no recurrence of the CSDH. Conclusion: Literature’s review was done to determine the best surgical approach in treating spontaneous CSDH associated with AC. Burr hole evacuation of CSDH with irrigation only, leaving the AC intact, is a successful surgical approach for treatment and was associated with good outcome.

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Treatment of recurrent chronic subdural hematoma in a patient with Arachnoid cyst

Cited by 2 publications

References 5 publications

The question is whether hemiparesis is more common in unilateral than bilateral chronic subdural hematoma

The question is whether hemiparesis is more common in unilateral than bilateral chronic subdural hematoma

Spontaneous chronic subdural hematoma associated with arachnoid cyst in a child: A case report and critical review of the literature

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