Nontraumatic subdural hematoma and intracystic hemorrhage associated with a middle fossa arachnoid cyst

Intracranial arachnoid cysts (ACs) are relatively common findings that can be seen in up to 2% of patients. They are generally found incidentally with a benign clinical course and can be usually managed by observation. We report an unusual case of a middle fossa AC presenting with spontaneous intracystic hemorrhage along with subdural hematoma (SDH) causing significant mass effect and midline shift requiring surgical treatment. Even though the risk of hemorrhage in patients with AC is very low, the presence of AC is a known risk factor for SDH. Fortunately, the clinical outcome of patients who present with hemorrhage associated with AC is generally favorable with early recognition and prompt surgical treatment. Our case highlights the fact that both intracystic hemorrhage and SDH can occur in association with AC even in the absence of trauma and should be kept in mind when counseling patients with incidental AC about the natural history of these lesions.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Nontraumatic subdural hematoma and intracystic hemorrhage associated with a middle fossa arachnoid cyst ; volume:13 ; number:01 ; year:2018 ; pages:116-118
Asian journal of neurosurgery ; 13, Heft 01 (2018), 116-118

Beteiligte Personen und Organisationen
Kaszuba, Megan
Tan, Lee
Moftakhar, Roham
Kasliwal, Manish

DOI
10.4103/1793-5482.181124
URN
urn:nbn:de:101:1-2022112411184984464473
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 03:25 MESZ

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Beteiligte

  • Kaszuba, Megan
  • Tan, Lee
  • Moftakhar, Roham
  • Kasliwal, Manish

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