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Arachnoid cysts with subdural hematoma or intracystic hemorrhage in children

Zhiyong Liu1, Peng Xu, Qiang Li

  • 1From the *Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province; †Department of Neurosurgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nannin, Guangxi Zhuang Autonomous Region; and ‡Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People's Republic of China.

Pediatric Emergency Care
|May 3, 2014
PubMed

Insights

Pediatric arachnoid cysts (AC) can develop complications like subdural hematoma after head injury. Early follow-up and aggressive treatment, including cyst wall resection, are recommended for these complex cases.

Area of Science:

  • Pediatric Neurosurgery
  • Congenital Neurological Malformations

Background:

  • Arachnoid cysts (AC) are common congenital intracranial lesions in children.
  • Complications like subdural hematoma (SDH) and intracystic hemorrhage (ICH) can lead to intracranial hypertension, often after minor head trauma.

Observation:

  • Delayed bleeding after trauma in AC patients is frequently overlooked.
  • Treatment strategies for ACs complicated by SDH and ICH in pediatric patients remain controversial.

Findings:

  • This review analyzes 3 pediatric cases and 41 previously reported cases over 20 years.
  • Children with AC require regular follow-up post-head injury.
  • Aggressive therapeutic approaches, including cyst wall resection and establishing cyst-cistern communication, are suggested for complicated ACs.

Implications:

  • Highlights the need for vigilant monitoring of pediatric arachnoid cysts after head injury.
  • Suggests a more aggressive surgical approach for complicated pediatric ACs compared to adults.
  • Emphasizes the importance of cyst wall resection and cyst-cistern communication for effective management.

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