An arachnoidal cyst of the brain with post-traumatic hemorrhage: a case report and literature review
- Authors: Mamatkhanov M.R.1, Nizolin D.V.1, Pospelova M.L.1
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Affiliations:
- Almazov National Medical Research Centre
- Issue: Vol 28, No 6 (2024)
- Pages: 621-629
- Section: CASE REPORTS
- Submitted: 17.01.2024
- Accepted: 12.11.2024
- Published: 19.12.2024
- URL: https://jps-nmp.ru/jour/article/view/776
- DOI: https://doi.org/10.17816/ps776
- ID: 776
Cite item
Abstract
BACKGROUND: Arachnoid cysts (AC) are congenital anomalies characterized by a limited accumulation of cerebrospinal fluid between two layers of the arachnoid membrane. The clinical observation is notable for the complete emptying of the subdural hematoma and the straightening of the brain parenchyma (there is only one such case described in the literature).
CLINICAL CASE DESCRIPTION: An 8-year-old patient, who had been observed for left lateral fissure of the brain since birth, was hospitalized at the Almazov National Medical Research Center due to deterioration of his condition after an injury and an episode of physical exertion. Neuroimaging revealed a rupture of an arachnoid cyst with the formation of a chronic subdural hematoma. Drainage of the subdural hematoma was performed. After surgical treatment, regression of clinical symptoms was noted. According to neuroimaging data, the hematoma was emptied and the brain matter was straightened.
CONCLUSION: We have described a clinical case of AC complicated by hemorrhage with formation of subdural hematoma after mild traumatic brain injury and analyzed the literature on this topic. The course of asymptomatic AC can be complicated by hemorrhage that developed spontaneously or against the background of mild traumatic brain injury. Due to the high elastic properties of the brain in children, complete regression of even long-standing AC is possible.
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About the authors
Magomed R. Mamatkhanov
Almazov National Medical Research Centre
Author for correspondence.
Email: magomedniisp@mail.ru
ORCID iD: 0000-0001-7170-7415
SPIN-code: 7426-2245
MD, Dr. Sci. (Medicine)
Россия, Saint PetersburgDmitry V. Nizolin
Almazov National Medical Research Centre
Email: dlarinskij@mail.ru
ORCID iD: 0000-0001-8719-0342
SPIN-code: 9141-7638
MD
Россия, Saint PetersburgMaria L. Pospelova
Almazov National Medical Research Centre
Email: pospelovaml@mail.ru
ORCID iD: 0000-0003-3553-6537
SPIN-code: 1835-0074
MD, Dr. Sci. (Medicine)
Россия, Saint PetersburgReferences
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