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Intracranial arachnoid cyst associated with traumatic intracystic hemorrhage and subdural haematoma

P P Tsitsopoulos1, G C Pantazis, E C Syrmou

  • 1Department of Neurosurgery, Aristotle University of Thessaloniki, Hippokratio General Hospital, Thessaloniki, Greece. par_tsits@yahoo.gr

Hippokratia
|October 17, 2008
PubMed

Insights

Middle cranial fossa arachnoid cysts rarely rupture, but when they do, surgical evacuation of the subdural hematoma is an effective treatment. This case highlights a rare complication of these common brain cysts.

Area of Science:

  • Neurology
  • Neurosurgery
  • Developmental Neuroscience

Background:

  • Brain arachnoid cysts are common, benign, fluid-filled sacs of developmental origin.
  • Often discovered incidentally during neuroimaging for other conditions.

Observation:

  • A 15-year-old male presented with worsening headache after head trauma.
  • Neuroimaging revealed a subdural hematoma secondary to a ruptured middle cranial fossa arachnoid cyst with intracystic hemorrhage.

Findings:

  • Surgical evacuation of the subdural hematoma was performed.
  • Cyst communication with basal cisterns was established.
  • The patient experienced an uncomplicated postoperative recovery.

Implications:

  • Rupture of middle cranial fossa arachnoid cysts, though rare, can lead to significant complications like subdural hematomas.
  • Prompt surgical management, including hematoma evacuation, is crucial for favorable outcomes.
  • Understanding cyst-meningeal relationships is vital for managing these rare but serious complications.
Abstract

Keywords:
intracranial arachnoid cystintracystic bleedingsubdural haematomatreatment

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