Baş ağrısı ve anksiyete bozukluğu ile seyreden konveksite araknoid kisti tedavisinde burr hole trefinasyonu: olgu sunumu
Abstract
Bu yazıda, 18 yaşında bir kız çocuğunda nadir görülen bir sağ frontal konveksite araknoid kisti (AK) olgusu sunuyoruz. Son iki ayda progresyon gösteren baş ağrısı ile birlikte 13 yıldır devam eden sağ taraflı hemifasiyal spazm öyküsü ile başvurdu. Öyküsünde, anksiyete bozukluğu nedeniyle uygulanmış olan ilaç tedavisinden fayda görmediği saptandı. Bu nedenle, burr-hole trefinasyonu şeklinde bir cerrahi drenaj uygulandı ve daha sonra yapılan kontrol muayenesinde, AK'in kısmen nüksetmesine rağmen, hastanın yakınmalarının tamamen kaybolduğu görüldü. Burada, başağrısı ve anksiyet bozukluğuna sebep olan ve burr-hole trefinasyon yoluyla cerrahi drenaj ile tedavi edilen nadir bir konveksite AK olgusu sunulmaktadır
References
- Pradilla G, Jallo G. Arachnoid cysts: case series and review of the literature. Neurosurg Focus. 2007; 22: E7.
- Heier LA, Zimmerman RD, Amster JL, Gandy SE, Deck MD. Magnetic resonance imaging of arachnoid cysts. Clin Imaging. 1989; 13: 281-91.
- Gandy SE, Heier LA. Clinical and magnetic resonance features of primary intracranial arachnoid cysts. Ann Neurol. 1987; 21: 342-8.
- Mori T, Fujimoto M, Sakae K, Sakakibara T, Shin H, Yamaki T, Ueda S. Disappearance of arachnoid cysts after head injury. Neurosurgery. 1995; 36: 938-41.
- Kim DU, Park HR, Chang JC, Park SQ, Cho SJ, Park HK. Disappearance of arachnoid cysts after burrhole trephination: case report. Korean J Neurotrauma. 2019; 15: 170-5.
- Huang D, Abe T, Kojima K, Tanaka N, Watauabe M, Ohkura A, Nishimura H, Hayabuchi N, Norbash AM. Intracystic hemorrhage of the middle fossa arachnoid cyst and subdural hematoma caused by ruptured middle cerebral artery aneurysm. AJNR Am J Neuroradiol. 1999; 20: 1284-6.
- Sprung C, Armbruster B, Koeppen D, Cabraja M. Arachnoid cysts of the middle cranial fossa accompanied by subdural effusions-experience with 60 consecutive cases. Acta Neurochir (Wien). 2011; 153: 75-84.
- Cuny ML, Pallon M., Piana H, Boddaert N, Sainte-Rose C, Vaivre-Douret L, Piolino P, Puger S. Neuropsychological improvement after posterior fossa arachnoid cyst drainage. Child Nerv Syst. 2017; 33: 135.
- Gjerde PB, Litleskare S, Lura NG, Tangen T, Helland CA, Wester K. Anxiety and depression in patients with intracranial arachnoid cysts-a prospective study. World Neurosurg. 2019; 132: e645-e53.
- Schertz M, Constantini S, Eshel R. Neurodevelopmental outcomes in children with large temporal arachnoid cysts, J Neurosurg Pediatr. 2018; 21: 578-86.
Burr hole trephination in treatment of convexity arachnoid cyst presenting with headache and anxiety disorder: case report
Abstract
In this report, we present a rare case of an arachnoid cyst (AC) of the right frontal convexity in a 18-year-old girl. She presented with a 13-year history of right-sided hemifacial spasm associated with progressive headache during last two months. Her past history revealed that she had not benefited from the drug treatment administered for anxiety disorder. Therefore, surgical drainage via burr-hole trephination was performed and then control examination revealed complete disappearance of her complaints, inspite of partial recurrence of the AC.
References
- Pradilla G, Jallo G. Arachnoid cysts: case series and review of the literature. Neurosurg Focus. 2007; 22: E7.
- Heier LA, Zimmerman RD, Amster JL, Gandy SE, Deck MD. Magnetic resonance imaging of arachnoid cysts. Clin Imaging. 1989; 13: 281-91.
- Gandy SE, Heier LA. Clinical and magnetic resonance features of primary intracranial arachnoid cysts. Ann Neurol. 1987; 21: 342-8.
- Mori T, Fujimoto M, Sakae K, Sakakibara T, Shin H, Yamaki T, Ueda S. Disappearance of arachnoid cysts after head injury. Neurosurgery. 1995; 36: 938-41.
- Kim DU, Park HR, Chang JC, Park SQ, Cho SJ, Park HK. Disappearance of arachnoid cysts after burrhole trephination: case report. Korean J Neurotrauma. 2019; 15: 170-5.
- Huang D, Abe T, Kojima K, Tanaka N, Watauabe M, Ohkura A, Nishimura H, Hayabuchi N, Norbash AM. Intracystic hemorrhage of the middle fossa arachnoid cyst and subdural hematoma caused by ruptured middle cerebral artery aneurysm. AJNR Am J Neuroradiol. 1999; 20: 1284-6.
- Sprung C, Armbruster B, Koeppen D, Cabraja M. Arachnoid cysts of the middle cranial fossa accompanied by subdural effusions-experience with 60 consecutive cases. Acta Neurochir (Wien). 2011; 153: 75-84.
- Cuny ML, Pallon M., Piana H, Boddaert N, Sainte-Rose C, Vaivre-Douret L, Piolino P, Puger S. Neuropsychological improvement after posterior fossa arachnoid cyst drainage. Child Nerv Syst. 2017; 33: 135.
- Gjerde PB, Litleskare S, Lura NG, Tangen T, Helland CA, Wester K. Anxiety and depression in patients with intracranial arachnoid cysts-a prospective study. World Neurosurg. 2019; 132: e645-e53.
- Schertz M, Constantini S, Eshel R. Neurodevelopmental outcomes in children with large temporal arachnoid cysts, J Neurosurg Pediatr. 2018; 21: 578-86.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 15, 2022 |
| Submission Date | March 23, 2021 |
| Published in Issue | Year 2022Volume: 61 Issue: 1 |
