Arachnoid cyst presenting as a neurosurgical emergency: a case report.
| Autor: | Bhattarai HB; Gandaki Medical College, Tribhuvan University, Pokhara., Sapkota S; Gandaki Medical College, Tribhuvan University, Pokhara., Mandal P; Maharajgunj Medical Campus, Tribhuvan University, Institute of Medicine, Maharajgunj, Nepal., Bhattarai M; Maharajgunj Medical Campus, Tribhuvan University, Institute of Medicine, Maharajgunj, Nepal., Pathak R; Maharajgunj Medical Campus, Tribhuvan University, Institute of Medicine, Maharajgunj, Nepal. |
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| Jazyk: | angličtina |
| Zdroj: | Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2023 Nov 01; Vol. 85 (12), pp. 6164-6167. Date of Electronic Publication: 2023 Nov 01 (Print Publication: 2023). |
| DOI: | 10.1097/MS9.0000000000001373 |
| Abstrakt: | Introduction: Arachnoid cysts are intra-arachnoid lesions filled with cerebrospinal fluid. They account for ~1% of all intracranial mass lesions and are non-neoplastic collections of cerebrospinal fluid within an anomalous arachnoid enclosure. Case Presentation: The authors report a 35-year-old Arabian male who presented to the ER with a history of sudden loss of consciousness, anisocoria, and right hemiparesis. Contrast tomography showed a large frontoparietotemporal cyst (7.7×5.8×5.4) with uncal herniation and a midline shift of 12 mm. An emergency left FTP craniotomy with an excision of the cyst was performed. Discussion: Arachnoid cysts can be categorized as primary or secondary, arising congenitally or due to factors like trauma, infection, or neoplasia. It can rupture, leading to internal bleeding, causing symptoms such as headaches, seizures, and neurological decline. Rapid diagnosis is vital, with cranial computed tomography scans preferred for emergencies. Treatment options include surgical intervention like craniotomy, fenestration, or cyst peritoneal shunts. For uncal herniation, surgery can be successful and results depends on the amount of herniation. Conclusion: Although benign, the arachnoid cysts led to uncal herniation when they become 'tension' cysts. A high level of suspicion is crucial for early recognition of the condition. Timely intervention has shown positive recovery outcomes. Competing Interests: None.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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