Arachnoid Cysts of the Middle Cranial Fossa: Experience with 77 Cases Treated Surgically

Galassi, Ercole; Gaist, G; G, Giuliani; Pozzati, Eu.

doi:10.1007/978-3-7091-8975-7_39

Cited by 90 publications

(113 citation statements)

References 17 publications

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“…A tear in the outer membrane of the cyst resulting in a fluid collection has been confirmed at operation. 4) Excision of the arachnoid membranes and perforation into the basal cisterns are essential since subdural hygroma was caused by rupture of the outer membrane and escape of CSF into the subdural space. However, closure of the ruptured outer membrane has not been attempted.…”

Section: Y Hasegawa Et Almentioning

confidence: 99%

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Arachnoidplasty for Traumatic Subdural Hygroma Associated With Arachnoid Cyst in the Middle Fossa -Case Report-

Hasegawa

Tanaka

Kato

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 5-year old boy presented with an arachnoid cyst in the middle cranial fossa with mild midline shift manifesting as headache and loss of activity. Computed tomography (CT) showed subdural hygroma. Burr-hole drainage was carried out and symptoms were improved postoperatively. However, recollection of subdural hygroma was found on follow-up CT 3 weeks after subdural drainage. He underwent craniotomy, and tearing of the outer wall of the arachnoid cyst was observed. The ruptured cyst wall was tightly closed by arachnoidplasty to prevent cerebrospinal fluid leakage. Arachnoidplasty was effective for traumatic subdural hygroma with arachnoid cyst for reconstruction.

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Section: Y Hasegawa Et Almentioning

confidence: 99%

“…3,4) Subdural effusion is a known complication of arachnoid cysts, especially of posttraumatic origin. 1,7,[11][12][13] Surgical treatment of intracranial arachnoid cysts with mass effect remains controversial.…”

Section: Introductionmentioning

confidence: 99%

Arachnoidplasty for Traumatic Subdural Hygroma Associated With Arachnoid Cyst in the Middle Fossa -Case Report-

Hasegawa

Tanaka

Kato

et al. 2010

Neurol. Med. Chir.(Tokyo)

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“…1 These cysts have a predilection to occur in the middle cranial fossa, favour the left side and are more common in males with a prevalence of approximately 1.4%. [2][3][4] In adults, the majority of arachnoid cysts are asymptomatic and usually represent an incidental finding. 1,5 Although rare, there are published reports of subdural haemorrhage secondary to arachnoid cyst rupture in adults.…”

Section: Introductionmentioning

confidence: 99%

Subdural haemorrhage secondary to arachnoid cyst rupture from scuba diving

Richardson

Gan

2017

Int Surg J

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We describe a case of intracranial arachnoid cyst rupture leading to ipsilateral subacute subdural haemorrhage secondary to scuba diving in a previously healthy adult male. Our patient required urgent trephination of the cranium to evacuate the subdural haemorrhage and recovered well post operatively. To our knowledge this is the first case reported in the literature of arachnoid cyst rupture with concomitant subdural haemorrhage from scuba diving. This case may have implications for information provided to patients with arachnoid cysts.

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“…7,18,21,25,27,28,37,44,46,48,50,55,85 In some cases, previously asymptomatic arachnoid cysts may rupture, causing a symptomatic hygroma in the subdural space. 3,6,9,11,12,15,18,23,26,28,42,58,62,68,82 Most prior reports have advocated surgical treatment for arachnoid cyst-associated subdural hygromas. 3,7,8,20,28,29,59,72 We have observed that patients with a symptomatic subdural hygroma associated with an arachnoid cyst will frequently experience complete and lasting spontaneous resolution of their neurological symptoms if managed without surgery.…”

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confidence: 99%

Management of subdural hygromas associated with arachnoid cysts

Maher¹,

Garton²,

Al-Holou³

et al. 2013

PED

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Object Arachnoid cysts may occasionally be associated with subdural hygromas. The management of these concurrent findings is controversial. Methods The authors reviewed their experience with arachnoid cysts and identified 8 patients with intracranial arachnoid cysts and an associated subdural hygroma. The medical records and images for these patients were also examined. Results In total, 8 patients presented with concurrent subdural hygroma and arachnoid cyst. Of these 8 patients, 6 presented with headaches and 4 had nausea and vomiting. Six patients had a history of trauma. One patient was treated surgically at the time of initial presentation, and 7 patients were managed without surgery. All patients experienced complete resolution of their presenting signs and symptoms. Conclusions Subdural hygroma may lead to symptomatic presentation for otherwise asymptomatic arachnoid cysts. The natural course of cyst-associated subdural hygromas, even when symptomatic, is generally benign, and symptom resolution can be expected in most cases. The authors suggest that symptomatic hygroma is not an absolute indication for surgical treatment and that expectant management can result in good outcomes in many cases.

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Arachnoid Cysts of the Middle Cranial Fossa: Experience with 77 Cases Treated Surgically

Cited by 90 publications

References 17 publications

Arachnoidplasty for Traumatic Subdural Hygroma Associated With Arachnoid Cyst in the Middle Fossa -Case Report-

Arachnoidplasty for Traumatic Subdural Hygroma Associated With Arachnoid Cyst in the Middle Fossa -Case Report-

Subdural haemorrhage secondary to arachnoid cyst rupture from scuba diving

Management of subdural hygromas associated with arachnoid cysts

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