Arachnoid cyst and bipolar disorder: a case report

Bakım, Bahadır; Karamustafalıoğlu, K. Oğuz; Özalp, Güray; Tankaya, Onur; Kahraman, Nilay; Yavuz, Betül; Şengül, Hakan Serdar

doi:10.5455/jmood.20120129012907

Cited by 2 publications

(5 citation statements)

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“…Arachnoid cysts result from defects in the fusion of two layers of the arachnoid membrane during the early fetal period, which leads to a cyst's formation with cerebrospinal fluid accumulation between the two arachnoid membranes [1,2]. Arachnoid cysts account for 1% of nontraumatic space-occupying lesions in the skull [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Most arachnoid cysts in children are congenital [5,6], while in adults, they can be primary, congenital, or develop secondary to trauma, tumor, or infection [5]. The most common location is the middle cranial fossa (4/6), followed by the posterior cranial fossa (1/6), and the suprasellar, frontal, cerebral convexity, interhemispheric fissure, and quadrigeminal cistern (1/6) [2,7]. Arachnoid cysts are more common in children than adults [8], and Sylvian arachnoid cysts account for 40-50% of all intracranial cases [3].…”

Section: Introductionmentioning

confidence: 99%

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A rare case of bleeding into the Sylvian arachnoid cyst: A case report

Karakoc

Sarica

2023

J Surg Med

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Arachnoid cysts are primarily developmental in origin and constitute rare, benign lesions. Sylvian arachnoid cysts may infrequently present with subdural and/or intracystic hemorrhage. Hemorrhage is typically of venous origin and occurs due to stretching and tearing of bridging veins, depending on minor traumas. The annual risk of bleeding associated with Sylvian arachnoid cysts, with no additional complaints other than headache and an asymptomatic course, has been reported to be 0.04%. Symptoms can range from headache to coma, depending on the mass effect after hemorrhage. If there is no clinical evidence linking the arachnoid cyst, it is sufficient to perform surgery only for the hematoma without resecting it. In this case report, we present a rare instance of hemorrhage due to a Sylvian arachnoid cyst that developed after trauma and was observed in a patient who came to our clinic with a headache. In our patient, the cyst-dependent left parietal subdural hemorrhage was evacuated through a burr-hole craniotomy, and a closed-system drainage with a Hemovac drain was applied for 48 hours. During post-operative follow-up, complete resorption of subdural and intracystic hemorrhages was observed. A case-based surgical approach is necessary for bleeding due to arachnoid cysts in the Sylvian region.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A rare case of bleeding into the Sylvian arachnoid cyst: A case report

Karakoc

Sarica

2023

J Surg Med

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“…Çoğu zaman gelişimsel kökenlidir. Erken fetal yaşamda araknoid membranın iki tabakasının birleşiminin gerçekleşme-mesi sonucu oluşur ve bunu beyin omurilik sıvısı birikimi, kist oluşumu izler (1). Araknoid kistler kafa içinde yer kaplayan lezyonların %1'ini oluşturur (2).…”

Section: Introductionunclassified

“…Araknoid kistler kafa içinde yer kaplayan lezyonların %1'ini oluşturur (2). En sık yerleşim yeri orta kraniyal fossadır (1). Beynin sol tarafında sağa göre iki kat daha fazla görülür (2)(3)(4).…”

Section: Introductionunclassified

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Electroconvulsive therapy in a major depression patient with arachnoid cyst

Bülbül¹,

Demir²,

Aksoy³

et al. 2013

Dusunen Adam

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ÖZETAraknoid kisti olan majör depresyon vakasında elektrokonvülsif tedavi uygulaması Araknoid kist, erken fetal yaşamda araknoid membranın iki tabakasının birleşiminin gerçekleşmemesi sonucu oluşur ve bunu beyin omurilik sıvısı birikimi, kist oluşumu izler. Araknoid kistler kafa içi yer kaplayan lezyonların %1'ini oluşturur. Tanı, genelde genel tıbbi incelemeler sırasında konur. Epilepsi, artmış intrakranial basınç, nörolojik defisit, çocuklarda makrokranium ve gelişme geriliği, subdural hematomlara neden olabilirler.İntrakraniyal yer kaplayan lezyonların varlığında elektrokovülsif tedavi (EKT) uygulanırken dikkatli olunması tavsiye edilmektedir. EKT kafa içi basıncını artırarak, araknoid kisti olan hastalarda yan etkilerin oluşmasına neden olabilmektedir. Rüptüre olan araknoid kist, subdural efüzyon, subdural kanama ya da intrakistik kanama ile semptomatik hale gelebilir. Sunmakta olduğumuz bu olguya majör depresyon ve araknoid kist tanısı kondu. Medikal tedaviye yanıt vermeyen ve intihar düşüncesi olan hastaya EKT uygulandı. EKT ile hastanın şikayetleri tamamen düzeldi. Araknoid kistin boyutlarında herhangi bir büyüme veya komplikasyon görülmedi.Bu olguda, araknoid kist ile beraber EKT'nin başarılı bir şekilde uygulanması tartışıldı. Anahtar kelimeler: Araknoid kist, EKT, majör depresyon ABSTRACT Electroconvulsive therapy in a major depression patient with arachnoid cystArachnoid cyst develops when two layers of arachnoid membrane fail to unite in early fetal life causing cerebrospinal fluid accumulation and formation of a cyst. Arachnoid cysts constitute 1% of space occupying lesions in the brain. Diagnosis is made usually with regular medical examinations. They can cause epilepsy, increased intracranial pressure, neurological deficits, macrocranium and growth deficit in children, and subdural hematoma. It has been recommended to be careful when administrating ECT to the patients with space occupying lesions. ECT can cause adverse effects in patients with arachnoid cyst by increasing intracranial pressure. Arachnoid cyst can rupture and give symptoms by causing subdural effusion, subdural hemorrhage or intracystic hemorrhage. In this case, we diagnosed major depression and arachnoid cyst. We administered ECT to the patient who had suicide ideation and was resistant to pharmacotherapy. Patient's complaints fully recovered with ECT. The size of arachnoid cyst didn't increase and we observed no complication. In this case, we aimed to show that ECT could be successfully administered to the patients with arachnoid cyst.

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Arachnoid cyst and bipolar disorder: a case report

Cited by 2 publications

References 18 publications

A rare case of bleeding into the Sylvian arachnoid cyst: A case report

A rare case of bleeding into the Sylvian arachnoid cyst: A case report

Electroconvulsive therapy in a major depression patient with arachnoid cyst

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