Arachnoid Cysts With Subdural Hematoma or Intracystic Hemorrhage in Children
- 1 May 2014
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Pediatric Emergency Care
- Vol. 30 (5), 345-351
- https://doi.org/10.1097/pec.0000000000000128
Abstract
Arachnoid cyst (AC) is a common congenital intracranial lesion in children. It may be complicated by subdural hematoma (SDH) and intracystic hemorrhage (ICH) to cause intracranial hypertension after minor head injury or spontaneously. However, because most bleeding after trauma is delayed, it is often overlooked. At the same time, it remains controversial for treatment of ACs complicated with SDH and ICH. So far, it lacks review, especially for pediatric patients who have ACs with SDH or ICH. Here, we report 3 pediatric cases in our department from 2010 to 2011. At the same time, we review 41 pediatric patients reported in the last 20 years. We conclude that a child with AC should be regularly followed up after minor head injury, and that therapy for children with complicated ACs should be more aggressive than for adults. The cyst wall should be resected, and communication between cyst and cerebral cistern should be established.Keywords
This publication has 53 references indexed in Scilit:
- Congenital Cysts of the Brain: Arachnoid MalformationsPublished by S. Karger AG ,2015
- Phase II study of nimustine, carboplatin, vincristine, and interferon-β with radiotherapy for glioblastoma multiforme: experience of the Kyoto Neuro-Oncology GroupJournal of Neurosurgery, 2006
- Intracranial Arachnoid CystsNeurosurgery Quarterly, 2004
- Peculiarities of Intracranial Arachnoid Cysts: Location, Sidedness, and Sex Distribution in 126 Consecutive PatientsNeurosurgery, 1999
- Arachnoid Cyst Rupture Producing Subdural Hygroma and Intracranial Hypertension: Case ReportsNeurosurgery, 1997
- Middle cranial fossa arachnoid cyst developing in infancyJournal of Neurosurgery, 1995
- Gender Distribution and Sidedness of Middle Fossa Arachnoid CystsNeurosurgery, 1992
- Arachnoid cysts in children: a European co-operative studyChild's Nervous System, 1992
- Intracranial Arachnoid CystsPediatric Neurosurgery, 1985
- Ultrastructure and Pathogenesis of Intracranial Arachnoid CystsJournal of Neuropathology and Experimental Neurology, 1981