Arachnoid cyst complicated by contralateral chronic subdural hematoma

Simple hematoma evacuation is often performed in cases of chronic subdural hematoma (CSDH) associated with arachnoid cysts (ACs) on the same side after head injury. However, it is not clear which procedure is appropriate when ACs and CSDH are located on different sides. Here, we present a case of a...

Full description

Bibliographic Details
Main Authors: Ming-Hsuan Chung, Peng-Wei Wang, Dueng-Yuan Hueng, Da-Tong Ju, Jang-Chun Lin, Wei-Hsiu Liu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Medical Sciences
Subjects:
Online Access:http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2020;volume=40;issue=4;spage=187;epage=189;aulast=Chung
_version_ 1818863949565657088
author Ming-Hsuan Chung
Peng-Wei Wang
Dueng-Yuan Hueng
Da-Tong Ju
Jang-Chun Lin
Wei-Hsiu Liu
author_facet Ming-Hsuan Chung
Peng-Wei Wang
Dueng-Yuan Hueng
Da-Tong Ju
Jang-Chun Lin
Wei-Hsiu Liu
author_sort Ming-Hsuan Chung
collection DOAJ
description Simple hematoma evacuation is often performed in cases of chronic subdural hematoma (CSDH) associated with arachnoid cysts (ACs) on the same side after head injury. However, it is not clear which procedure is appropriate when ACs and CSDH are located on different sides. Here, we present a case of a 3-year-old boy with right frontal–temporal subdural hematoma and an AC over the left frontal–temporal region. Treatment involved craniotomy with hematoma evacuation, but no drainage of contralateral AC was applied. The patient was discharged 7 days after surgery without any neurologic deficits and no symptoms of headache or poor appetite. These results suggest that craniotomy and hematoma evacuation without intervention for the AC is adequate in patients with contralateral CSDH with a large AC.
first_indexed 2024-12-19T10:23:53Z
format Article
id doaj.art-b469056cd2214a7ead42f464069374b6
institution Directory Open Access Journal
issn 1011-4564
language English
last_indexed 2024-12-19T10:23:53Z
publishDate 2020-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Medical Sciences
spelling doaj.art-b469056cd2214a7ead42f464069374b62022-12-21T20:25:58ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642020-01-0140418718910.4103/jmedsci.jmedsci_140_19Arachnoid cyst complicated by contralateral chronic subdural hematomaMing-Hsuan ChungPeng-Wei WangDueng-Yuan HuengDa-Tong JuJang-Chun LinWei-Hsiu LiuSimple hematoma evacuation is often performed in cases of chronic subdural hematoma (CSDH) associated with arachnoid cysts (ACs) on the same side after head injury. However, it is not clear which procedure is appropriate when ACs and CSDH are located on different sides. Here, we present a case of a 3-year-old boy with right frontal–temporal subdural hematoma and an AC over the left frontal–temporal region. Treatment involved craniotomy with hematoma evacuation, but no drainage of contralateral AC was applied. The patient was discharged 7 days after surgery without any neurologic deficits and no symptoms of headache or poor appetite. These results suggest that craniotomy and hematoma evacuation without intervention for the AC is adequate in patients with contralateral CSDH with a large AC.http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2020;volume=40;issue=4;spage=187;epage=189;aulast=Chungarachnoid cystchronic subdural hemorrhagechildren
spellingShingle Ming-Hsuan Chung
Peng-Wei Wang
Dueng-Yuan Hueng
Da-Tong Ju
Jang-Chun Lin
Wei-Hsiu Liu
Arachnoid cyst complicated by contralateral chronic subdural hematoma
Journal of Medical Sciences
arachnoid cyst
chronic subdural hemorrhage
children
title Arachnoid cyst complicated by contralateral chronic subdural hematoma
title_full Arachnoid cyst complicated by contralateral chronic subdural hematoma
title_fullStr Arachnoid cyst complicated by contralateral chronic subdural hematoma
title_full_unstemmed Arachnoid cyst complicated by contralateral chronic subdural hematoma
title_short Arachnoid cyst complicated by contralateral chronic subdural hematoma
title_sort arachnoid cyst complicated by contralateral chronic subdural hematoma
topic arachnoid cyst
chronic subdural hemorrhage
children
url http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2020;volume=40;issue=4;spage=187;epage=189;aulast=Chung
work_keys_str_mv AT minghsuanchung arachnoidcystcomplicatedbycontralateralchronicsubduralhematoma
AT pengweiwang arachnoidcystcomplicatedbycontralateralchronicsubduralhematoma
AT duengyuanhueng arachnoidcystcomplicatedbycontralateralchronicsubduralhematoma
AT datongju arachnoidcystcomplicatedbycontralateralchronicsubduralhematoma
AT jangchunlin arachnoidcystcomplicatedbycontralateralchronicsubduralhematoma
AT weihsiuliu arachnoidcystcomplicatedbycontralateralchronicsubduralhematoma