Relationship between supratentorial arachnoid cyst and chronic subdural hematoma: neuroradiological evidence and surgical treatment

Domenicucci, Maurizio; Russo, Nicholas W.; Giugni, Elisabetta; Pierallini, A.

doi:10.3171/2008.4.17509

Cited by 62 publications

(77 citation statements)

References 33 publications

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“…Ruptured arachnoid cysts with intracranial subdural hemorrhage can be treated either conservatively, if small and minimally symptomatic, or surgically by craniotomy or bur hole drainage, depending on the size, and age of blood collection. 4,5 In our case, since there was no midline shift and the patient had no headaches, conservative management was pursued. Due to the severe spinal nerve root tension signs, a short course of oral steroids was deemed appropriate, and although the treatment was rapidly effective in this case, we would not generally recommend it for intracranial hemorrhage.…”

Section: 4-9mentioning

confidence: 99%

Ruptured temporal lobe arachnoid cyst presenting with severe back pain

Lohani¹,

Robertson

Proctor³

2013

PED

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Arachnoid cyst is a common congenital anomaly in the pediatric population. The cysts are often asymptomatic, but they can cause headache and other symptoms. Occasionally a cyst may rupture after head trauma producing a subdural hematoma. The authors present the case of an 11-year-old boy who presented after a week of progressive and severe back pain radiating to the back of his thighs. Imaging revealed a spinal subdural blood collection at the L4–S1 level. This finding prompted further cephalad imaging of the spine and the brain, which revealed a sylvian fissure arachnoid cyst with intracystic hemorrhage and frontoparietal subdural hematoma. The child did not have headache at this time, although he had experienced chronic headaches since the age of 4 years. He was treated with a course of oral steroids, which immediately relieved his back and leg pain. Subsequent imaging showed resolution of the cranial and spinal subdural blood collections and diminished size of the arachnoid cyst. No surgical treatment was necessary.

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Section: 4-9mentioning

confidence: 99%

Ruptured temporal lobe arachnoid cyst presenting with severe back pain

Lohani¹,

Robertson

Proctor³

2013

PED

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“…Hemorrhage may occasionally occur into an arachnoid cyst after trauma. [97][98][99][100] Because this is also a very rare event, prophylaxis against future hemorrhage risk should not be used to justify surgical treatment in an asymptomatic child. Furthermore, hemorrhages associated with arachnoid cysts are associated with generally good outcomes, even when surgical evacuation of the hemorrhage is deemed necessary.…”

Section: Arachnoid Cystsmentioning

confidence: 99%

Incidental Findings on Brain and Spine Imaging in Children

Maher¹,

Piatt²,

Ragheb³

et al. 2015

Pediatrics

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In recent years, the utilization of diagnostic imaging of the brain and spine in children has increased dramatically, leading to a corresponding increase in the detection of incidental findings of the central nervous system. Patients with unexpected findings on imaging are often referred for subspecialty evaluation. Even with rational use of diagnostic imaging and subspecialty consultation, the diagnostic process will always generate unexpected findings that must be explained and managed. Familiarity with the most common findings that are discovered incidentally on diagnostic imaging of the brain and spine will assist the pediatrician in providing counseling to families and in making recommendations in conjunction with a neurosurgeon, when needed, regarding additional treatments and prognosis.

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“…1,2,11,13,17) Since the most common symptoms, headache and vomiting, are caused by the increased intracranial pressure, simple decompression is adequate. Cyst removal or fenestration at the time of drainage is unnecessary for previously asymptomatic cysts.…”

Section: T Takayasu Et Almentioning

confidence: 99%

“…Arachnoid cysts account for about 1% of non-traumatic intracranial mass lesions, 2,3,7,8,18,23) and in general the clinical course is stable. However, arachnoid cysts sometimes cause symptoms such as headaches, seizures, cranial deformities, and neurological deficits.…”

Section: Introductionmentioning

confidence: 99%

“…1,5,7,8,11,13,14,17,19) Arachnoid cyst is well known to cause chronic subdural hematoma (CSDH), especially in young patients. 1,2,5,8,11,13,14,17,19,20,23) Head injury is regarded as an important factor in hematoma induction. Several studies have suggested that the cyst is less compliant than normal brain tissue, and thus traumatic impact can easily spread to the cyst wall, bridging veins, and unsupported vessels around the cyst.…”

Section: Introductionmentioning

confidence: 99%

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Chronic Subdural Hematoma Associated With Arachnoid Cyst

Takayasu¹,

Harada²,

Nishimura³

et al. 2012

Neurol. Med. Chir.(Tokyo)

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Arachnoid cysts are well known to induce chronic subdural hematoma (CSDH) after head injury. However, histological observations of the arachnoid cyst and hematoma membrane have only been rarely described. An 8-year-old boy and a 3-year-old boy presented with CSDH associated with arachnoid cyst. Surgical removal of the hematoma and biopsy of the hematoma membrane and cyst wall were performed. Clinical courses were good and without recurrence more than 1.5 years after surgery. Histological examination suggested that the cysts did not contribute to hematoma development. Pediatric hematoma membranes, similar to adult hematoma membranes, are key in the growth of CSDH. Therefore, simple hematoma evacuation is adequate as a first operation for CSDH associated with arachnoid cyst.

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Relationship between supratentorial arachnoid cyst and chronic subdural hematoma: neuroradiological evidence and surgical treatment

Abstract: Arachnoid cysts associated with SDH are anatomically separate conditions whose neurological symptoms respond to surgical drainage of the CSDH alone.

Cited by 62 publications

References 33 publications

Ruptured temporal lobe arachnoid cyst presenting with severe back pain

Ruptured temporal lobe arachnoid cyst presenting with severe back pain

Incidental Findings on Brain and Spine Imaging in Children

Chronic Subdural Hematoma Associated With Arachnoid Cyst

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