Intracranial arachnoid cyst secondary to head trauma in a pediatric patient. Case report
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Publicación 9. Vol 6. Num 2.1 (Español (España))
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Published:
Jun 26, 2023
Keywords:
cystoperitoneal shunt, arachnoid cyst, pathogenesis, head trauma, neurosurgery, computed tomography.
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Abstract
Introduction. Arachnoid cysts are a benign lesion filled with cerebrospinal fluid coated with an arachnoid membrane. Their association with head trauma is infrequently reported. Choi and Kim were the first to postulate that childhood head trauma may in some cases contribute to their pathogenesis. Objective. Describe the case of a pediatric patient with a cranial deformity in the left temporal region that was evident after a head trauma in the same region, the surgical management and his evolution. Methodology. Case report performed by retrospective collection of information through access to the patient's physical and digital medical history with prior authorization of the legal representatives through informed consent. Results. Pediatric patient 2 years 2 months old with left temporal cranial deformity that became evident after a head injury. The cranial tomography showed a cystic lesion of large size in the left temporal region that remodeled the adjacent calotte. The control tomography 3 months postoperatively showed significant reduction and a new report of a subdural hygroma. Conclusion. Head trauma could be a determinant factor involved in the pathogenesis of arachnoid cyst, however, further discussion is required.
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Sarango Feijoó, A. C., Ochoa Aucay, J. E., & Robles Delgado, M. C. (2023). Intracranial arachnoid cyst secondary to head trauma in a pediatric patient. Case report. ConcienciaDigital, 6(2.1), 151-162. https://doi.org/10.33262/concienciadigital.v6i2.1.2594
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References
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Deopujari, C. E., Shaikh, S. T., Karmarkar, V. S., Sudke, A. Y., Mohanty, C. B., & Biyani, N. K. (2021). Experience with Management of Intracranial Arachnoid Cysts. Journal of Neurological Surgery. Part A, Central European Neurosurgery, 82(1), 43–52. https://doi.org/10.1055/S-0040-1718522
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Kim, K. H., Lee, J. Y., Phi, J. H., Cho, B. K., Shin, M. S., & Kim, S. K. (2019). Neurocognitive profile in children with arachnoid cysts before and after surgical intervention. Child’s Nervous System 2019 35:3, 35(3), 517–522. https://doi.org/10.1007/S00381-018-4026-0
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Li, K., Kong, D. S., Zhang, J., Wang, X. S., Ye, X., & Zhao, Y. L. (2019). Association between ELP4 rs986527 polymorphism and the occurrence and development of intracranial arachnoid cyst. Brain and Behavior, 9(12). https://doi.org/10.1002/BRB3.1480
Massimi, L., Bianchi, F., Benato, A., Frassanito, P., & Tamburrini, G. (2023). Ruptured Sylvian arachnoid cysts: an update on a real problem. Child’s Nervous System, 39(1), 93. https://doi.org/10.1007/S00381-022-05685-3
Matushita, H., Cardeal, D. D., de Andrade, F. G., & Teixeira, M. J. (2018). Temporal arachnoid cysts: are they congenital? Child’s Nervous System, 34(2), 353–357. https://doi.org/10.1007/S00381-017-3613-9
Mustansir, F., Bashir, S., & Darbar, A. (2018). Management of Arachnoid Cysts: A Comprehensive Review. Cureus, 10(4). https://doi.org/10.7759/CUREUS.2458
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Sahap, S. K., Unal, S., & Fitoz, S. (2022). The unique features of middle cranial fossa and Sylvian fissure arachnoid cysts in children: MRI evaluation. Child’s Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery. https://doi.org/10.1007/S00381-022-05712-3
Sato, K., Shimoji, T., Yaguchi, K., Sumie, H., Kuru, Y., & Ishii, S. (1983). Middle fossa arachnoid cyst: Clinical, neuroradiological, and surgical features. Pediatric Neurosurgery, 10(5), 301–316. https://doi.org/10.1159/000120129
Sunny, D. E., Amoo, M., Al Breiki, M., Teng, E. D. W., Henry, J., & Javadpour, M. (2022). Prevalence of incidental intracranial findings on magnetic resonance imaging: a systematic review and meta-analysis. Acta Neurochirurgica, 164(10), 2751–2765. https://doi.org/10.1007/S00701-022-05225-7
Tomita, T., Kwasnicki, A. M., McGuire, L. S., & Dipatri, A. J. (2023). Temporal sylvian fissure arachnoid cyst in children: treatment outcome following microsurgical cyst fenestration with special emphasis on cyst reduction and subdural collection. Child’s Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery, 39(1), 127–139. https://doi.org/10.1007/S00381-022-05719-W
Carbone, J., & Sadasivan, A. P. (2021). Intracranial arachnoid cysts: Review of natural history and proposed treatment algorithm. Surgical Neurology International, 12(621). https://doi.org/10.25259/SNI_946_2021
Catala, M., & Poirier, J. (1998). Les kystes arachnoïdiens : mise au point histologique, embryologique et physio-pathologique. Rev Neurol (Paris), 154(7), 489–501.
Choi, J. U., & Kim, D. S. (1998). Pathogenesis of arachnoid cyst: Congenital or traumatic? Pediatric Neurosurgery, 29(5), 260–266. https://doi.org/10.1159/000028733
Deopujari, C. E., Shaikh, S. T., Karmarkar, V. S., Sudke, A. Y., Mohanty, C. B., & Biyani, N. K. (2021). Experience with Management of Intracranial Arachnoid Cysts. Journal of Neurological Surgery. Part A, Central European Neurosurgery, 82(1), 43–52. https://doi.org/10.1055/S-0040-1718522
Helland, C. A., & Wester, K. (2007). A population based study of intracranial arachnoid cysts: Clinical and neuroimaging outcomes following surgical cyst decompression in adults. Journal of Neurology, Neurosurgery and Psychiatry, 78(10), 1129–1135. https://doi.org/10.1136/JNNP.2006.107995
Hong, S., Pae, J., & Ko, H. S. (2023). Fetal arachnoid cyst: characteristics, management in pregnancy, and neurodevelopmental outcomes. Obstetrics & Gynecology Science, 66(2). https://doi.org/10.5468/OGS.22113
Invergo, D., & Tomita, T. (2013). De novo suprasellar arachnoid cyst: Case report and review of the literature. Pediatric Neurosurgery, 48(3), 199–203. https://doi.org/10.1159/000345636
Jafrani, R., Raskin, J. S., Kaufman, A., & Lam, S. (2019). Intracranial arachnoid cysts: Pediatric neurosurgery update. Surgical Neurology International, 10(1). https://doi.org/10.4103/SNI.SNI_320_18
Kim, K. H., Lee, J. Y., Phi, J. H., Cho, B. K., Shin, M. S., & Kim, S. K. (2019). Neurocognitive profile in children with arachnoid cysts before and after surgical intervention. Child’s Nervous System 2019 35:3, 35(3), 517–522. https://doi.org/10.1007/S00381-018-4026-0
Kumagai, M., Sakai, N., Yamada, H., Shinoda, J., Nakashima, T., Iwama, T., & Ando, T. (1986). Postnatal development and enlargement of primary middle cranial fossa arachnoid cyst recognized on repeat CT scans. Child’s Nervous System, 2(4), 211–215. https://doi.org/10.1007/BF00706815
Li, K., Kong, D. S., Zhang, J., Wang, X. S., Ye, X., & Zhao, Y. L. (2019). Association between ELP4 rs986527 polymorphism and the occurrence and development of intracranial arachnoid cyst. Brain and Behavior, 9(12). https://doi.org/10.1002/BRB3.1480
Massimi, L., Bianchi, F., Benato, A., Frassanito, P., & Tamburrini, G. (2023). Ruptured Sylvian arachnoid cysts: an update on a real problem. Child’s Nervous System, 39(1), 93. https://doi.org/10.1007/S00381-022-05685-3
Matushita, H., Cardeal, D. D., de Andrade, F. G., & Teixeira, M. J. (2018). Temporal arachnoid cysts: are they congenital? Child’s Nervous System, 34(2), 353–357. https://doi.org/10.1007/S00381-017-3613-9
Mustansir, F., Bashir, S., & Darbar, A. (2018). Management of Arachnoid Cysts: A Comprehensive Review. Cureus, 10(4). https://doi.org/10.7759/CUREUS.2458
Ramachandran, T., Valayatham, V., & Ganesan, D. (2022). Postnatal Posterior Fossa Arachnoid Cyst: A Developmental Etiology to Be Considered. Asian Journal of Neurosurgery, 17(4), 676. https://doi.org/10.1055/S-0042-1757223
Sahap, S. K., Unal, S., & Fitoz, S. (2022). The unique features of middle cranial fossa and Sylvian fissure arachnoid cysts in children: MRI evaluation. Child’s Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery. https://doi.org/10.1007/S00381-022-05712-3
Sato, K., Shimoji, T., Yaguchi, K., Sumie, H., Kuru, Y., & Ishii, S. (1983). Middle fossa arachnoid cyst: Clinical, neuroradiological, and surgical features. Pediatric Neurosurgery, 10(5), 301–316. https://doi.org/10.1159/000120129
Sunny, D. E., Amoo, M., Al Breiki, M., Teng, E. D. W., Henry, J., & Javadpour, M. (2022). Prevalence of incidental intracranial findings on magnetic resonance imaging: a systematic review and meta-analysis. Acta Neurochirurgica, 164(10), 2751–2765. https://doi.org/10.1007/S00701-022-05225-7
Tomita, T., Kwasnicki, A. M., McGuire, L. S., & Dipatri, A. J. (2023). Temporal sylvian fissure arachnoid cyst in children: treatment outcome following microsurgical cyst fenestration with special emphasis on cyst reduction and subdural collection. Child’s Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery, 39(1), 127–139. https://doi.org/10.1007/S00381-022-05719-W