Arachnoid Cyst–Associated Chronic Subdural Hematoma: Report of 14 Cases and a Systematic Literature Review

Wu, Xuanxuan; Li, Guichen; Zhao, Jinchuan; Zhu, Xiaodong; Zhang, Yang; Hou, Kun

doi:10.1016/j.wneu.2017.09.115

Cited by 50 publications

(58 citation statements)

References 57 publications

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“…Finally, although surgery is recommended for pediatric patients with CSDH, [27][28][29] all patients in this case report developed relapsing CSDH after one or more surgeries. Furthermore, there is no definitive report on the rate of the spontaneous absorption of hematoma in pediatric patients, especially relapsing cases.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Relapsed Chronic Subdural Hematoma in Four Young Children with Atorvastatin and Low‐dose Dexamethasone

Huang

Zhang

et al. 2019

Pharmacotherapy

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Chronic subdural hematoma (CSDH) can develop in children in rare cases. Burr‐hole drainage (BHD) is the treatment of choice, but it is associated with a high rate of recurrence. This report describes four cases of pediatric patients (1–7 yrs of age) with post‐BHD relapsed CSDH who were successfully treated with a drug regimen that included 2.5–5 mg atorvastatin daily combined with dexamethasone with stepwise‐decreasing dosing for a total of 4 weeks. After 4 weeks of treatment, the hematoma was completely resolved in three patients and significantly reduced in one patient. During the treatment, no patient reported clinically significant adverse events. No patient experienced hematoma relapse during the follow‐up period that lasted for up to 4 years. This case report suggests the need for a randomized placebo‐controlled trial to evaluate this drug regimen for nonsurgical treatment of patients with relapsed CSDH.

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Section: Discussionmentioning

confidence: 99%

Treatment of Relapsed Chronic Subdural Hematoma in Four Young Children with Atorvastatin and Low‐dose Dexamethasone

Huang

Zhang

et al. 2019

Pharmacotherapy

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“…There are three types (19). Recent studies have suggested that the irrigation of hematoma via a single burr hole should be chosen as an initial surgical management (23,26). Similar studies in the last decade are as follows: Domenicucci et al reported…”

Section: Discussionmentioning

confidence: 94%

“…Additional SDS was performed on Galassi type III patients. As fenestration of the cyst wall carries some risks of morbidity, such as re-bleeding, epidural hematoma, and subdural hygroma, we assumed that treating AC simultaneously with hematoma drainage is not necessary unless AC causes symptoms (23,26).…”

Section: Discussionmentioning

confidence: 99%

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

Müslüman

Özöner²,

Kircelli³

et al. 2017

Turkish Neurosurgery

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“…ACs are increasingly being recognized as a risk factor for the development of chronic subdural hematomas (CSDH) in children and young adults. A case series and review of the literature reported by Xuanxuan et al described 14 cases of CSDH associated with ACs that required treatment with either burr hole drainage or conventional craniotomy [ 9 ]. Six of these patients had no prior history of trauma, and six patients also had intra-cystic hemorrhage at the time of diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Acute Subdural Hematoma Associated with Arachnoid Cyst and Intra-cystic Hemorrhage

Johnson¹,

Amine

Farhat

2018

Cureus

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Arachnoid cysts (ACs) are congenital, extra-axial lesions containing fluid similar to the composition of cerebrospinal fluid. Usually found incidentally, these lesions are observed with serial imaging to document their growth patterns and stability, and are then followed conservatively until clinical symptoms develop. Surgical options for symptomatic arachnoid cysts include cyst aspiration, cyst evacuation with fenestration into the subarachnoid space, and shunt procedures including cysto-peritoneal and cysto-ventricular shunts. Intra-cystic hemorrhage and subdural hematoma are rare and more emergent sequelae of ACs that may require an emergent craniotomy. This case report further documents a rare cause of spontaneous subdural hematoma, as well as serves as a pivot point for further discussion into whether continued neuroimaging surveillance in patients with ACs would prove to be beneficial.

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Arachnoid Cyst–Associated Chronic Subdural Hematoma: Report of 14 Cases and a Systematic Literature Review

Cited by 50 publications

References 57 publications

Treatment of Relapsed Chronic Subdural Hematoma in Four Young Children with Atorvastatin and Low‐dose Dexamethasone

Treatment of Relapsed Chronic Subdural Hematoma in Four Young Children with Atorvastatin and Low‐dose Dexamethasone

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

Spontaneous Acute Subdural Hematoma Associated with Arachnoid Cyst and Intra-cystic Hemorrhage

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