Post-traumatic subdural hygroma as a complication of arachnoid cysts of the middle fossa

Kulali, A.; Wild, K. von

doi:10.1007/bf01790696

Cited by 20 publications

(12 citation statements)

References 5 publications

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“…46 AC-associated hygromas may form when the outer cyst membrane tears as a result of trauma or surgical manipulation. 3,7,[11][12][13]16,18,19,22,24,26,35,44,45,48,58,63,66,67 Hygromas undoubtedly result in elevated intracranial pressure in some cases, and patients with a symptomatic hygroma will be more likely to present for evaluation than other patients with asymptomatic AC. 15 For this reason, subdural hygromas would be expected to be overrepresented in most reported series of AC.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, most reported posttraumatic hygromas result from motor vehicle accidents, falls, or other trauma rather than sportsrelated injuries. 3,12,15,35,36,38,44,45,48,52,66 Even given these limitations, however, it is clear that presentation of an AC with hygroma does occasionally result from sports participation. 21,30,61 The relative rarity of such case reports in the literature suggests that the incidence of hygroma following sports injury is relatively rare.…”

Section: Discussionmentioning

confidence: 99%

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Sports participation with arachnoid cysts

Strahle

Selzer

Geh

et al. 2016

PED

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OBJECT There is currently no consensus on the safety of sports participation for patients with an intracranial arachnoid cyst (AC). The authors' goal was to define the risk of sports participation for children with this imaging finding. METHODS A survey was prospectively administered to 185 patients with ACs during a 46-month period at a single institution. Cyst size and location, treatment, sports participation, and any injuries were recorded. Eighty patients completed at least 1 subsequent survey following their initial entry into the registry, and these patients were included in a prospective registry with a mean prospective follow-up interval of 15.9 ± 8.8 months. RESULTS A total 112 patients with ACs participated in 261 sports for a cumulative duration of 4410 months or 1470 seasons. Of these, 94 patients participated in 190 contact sports for a cumulative duration of 2818 months or 939 seasons. There were no serious or catastrophic neurological injuries. Two patients presented with symptomatic subdural hygromas following minor sports injuries. In the prospective cohort, there were no neurological injuries CONCLUSIONS Permanent or catastrophic neurological injuries are very unusual in AC patients who participate in athletic activities. In most cases, sports participation by these patients is safe.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sports participation with arachnoid cysts

Strahle

Selzer

Geh

et al. 2016

PED

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“…15,52,53,81 Some have speculated that a change in local intracranial pressure (ICP) as a result of a Valsalva maneuver may also lead to cyst rupture with hygroma, although unrecognized or unrecorded trauma may also explain some of these cases. 9,15,19,42 A tear in the cyst lining allowing communication between an arachnoid cyst and an associated subdural hygroma has been documented intraoperatively on at least 4 occasions. 9,15,28,83 Hygromas undoubtedly result in elevated ICP in many cases.…”

Section: Discussionmentioning

confidence: 99%

“…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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“…A search of the literature reveal only 16 previously reported cases of ruptured ACs resulting in subdural hygromas [4, 5, 6, 7, 8, 9, 10, 11, 12]. We wish to report two additional cases.…”

Section: Introductionmentioning

confidence: 99%

Arachnoid Cyst Rupture with Concurrent Subdural Hygroma

2000

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Arachnoid cysts (ACs) are relatively common intracranial mass lesions, which occur most often in the middle cranial fossa. While these lesions can present as a mass lesion, many are asymptomatic. Rarely, posttraumatic or spontaneous rupture of ACs can result in intracystic hemorrhage, subdural hematoma or subdural hygroma. We have encountered two cases of ruptured arachnoid cysts that resulted in subdural hygromas. Both patients harbored middle cranial fossa cysts and suffered mild closed head injuries. The presentation, radiographic findings and surgical management of these patients as well as the association between ACs and subdural hygromas are described.

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Post-traumatic subdural hygroma as a complication of arachnoid cysts of the middle fossa

Cited by 20 publications

References 5 publications

Sports participation with arachnoid cysts

Sports participation with arachnoid cysts

Management of subdural hygromas associated with arachnoid cysts

Arachnoid Cyst Rupture with Concurrent Subdural Hygroma

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