CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2017; 36(02): 122-124
DOI: 10.1055/s-0035-1571137
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Arachnoid Cyst with a Non-traumatic Acute Subdural Hematoma in an Eleven-year-old Patient

Cisto aracnoide associado a hematoma subdural agudo não traumático em um paciente de onze anos de idade
Gabriel Flamarin Cavasana
1   Neurosurgery Department of Santa Casa de Misericórdia de Araçatuba, SP, Brazil
,
Rodrigo Mendonça
1   Neurosurgery Department of Santa Casa de Misericórdia de Araçatuba, SP, Brazil
,
Fabricio Willian Mantelo Zanini
1   Neurosurgery Department of Santa Casa de Misericórdia de Araçatuba, SP, Brazil
› Author Affiliations
Further Information

Publication History

29 June 2015

23 November 2015

Publication Date:
12 February 2016 (online)

Abstract

A non-traumatic intra-cystic hemorrhage in an arachnoid cyst is a rare event, with few cases reported in the literature. We present a case of an eleven-year-old boy patient, which presented a spontaneous acute subdural hematoma and intra-cystic hemorrhage after a strong headache episode. The results were evidenced by a computed tomography (CT) scan and surgical findings. We perform a brief literature review on the arachnoid cyst and its suggested treatments. In our case, the patient underwent a surgical treatment with a complete resolution of the case.

Resumo

Sabe-se que uma hemorragia intracística não traumática em um cisto aracnoide é um acontecimento raro, com poucos casos relatados na literatura. Nós apresentamos o caso de um menino de onze anos de idade, o qual apresentou espontaneamente um hematoma subdural agudo acompanhado de hemorragia intracística após um forte episódio de dor de cabeça. Os resultados foram evidenciados através de uma tomografia computadorizada e dos achados cirúrgicos. Foi feita uma breve revisão da literatura sobre cisto aracnoide e seus respectivos tratamentos sugeridos. Em nosso caso, o paciente foi submetido a um tratamento cirúrgico, com resolução completa do caso.

 
  • References

  • 1 Akyuz M, Goksu E, Aralasmak A, Tuncer R. Retroclival arachnoid cyst presenting with haemorrhage: a brief report of a special case. Acta Neurochir (Wien) 2010; 152 (01) 161-162
  • 2 Henriques JGB, Pianetti Filho G, Henriques KSW. , et al. Spontaneous acute subdural hematoma contralateral to an arachnoid cyst. Arq Neuropsiquiatr 2007; 65 (4A, 4a) 1034-1036
  • 3 Hong JC, Kim MS, Chang CH, Kim SH. Arachnoid cyst with spontaneous intracystic hemorrhage and chronic subdural hematoma. J Korean Neurosurg Soc 2008; 43 (01) 54-56
  • 4 Iaconetta G, Esposito M, Maiuri F, Cappabianca P. Arachnoid cyst with intracystic haemorrhage and subdural haematoma: case report and literature review. Neurol Sci 2006; 26 (06) 451-455
  • 5 Zanini MA, Gabarra RC, Faleiros AT, Freitas CC, Alves A. [Cerebral aneurysm and arachnoid cyst: about a case with intracystic hemorrhage]. Arq Neuropsiquiatr 2000; 58 (2A): 330-335
  • 6 Patel RA, Levy ML, Crawford JR. Spontaneous subdural haemorrhage in a child with bilateral middle cranial fossa arachnoid cysts. BMJ Case Rep 2013; 2013: xx
  • 7 Cress M, Kestle JR, Holubkov R, Riva-Cambrin J. Risk factors for pediatric arachnoid cyst rupture/hemorrhage: a case-control study. Neurosurgery 2013; 72 (05) 716-722 , discussion 722
  • 8 Scheel M, Bauknecht HC. Teaching neuroimages: head banging without head trauma: subdural hemorrhage in association with arachnoid cysts. Neurology 2011; 76 (12) e60
  • 9 Shimizu J, Matsumoto M, Yamazaki E, Yasue M. An aneurysm rupturing into a middle cranial fossa arachnoid cyst presenting as an intracystic hemorrhage. J Stroke Cerebrovasc Dis 2012; 21 (03) 243-244