Case Report
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Burr hole trephination in treatment of convexity arachnoid cyst presenting with headache and anxiety disorder: case report

Year 2022, Volume 61, Issue 1, 108 - 110, 15.03.2022
https://doi.org/10.19161/etd.1086267

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.

Baş ağrısı ve anksiyete bozukluğu ile seyreden konveksite araknoid kisti tedavisinde burr hole trefinasyonu: olgu sunumu

Year 2022, Volume 61, Issue 1, 108 - 110, 15.03.2022
https://doi.org/10.19161/etd.1086267

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.

Details

Primary Language Turkish
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Mehmet TURGUT This is me (Primary Author)
Department of Neurosurgery, Aydın Adnan Menderes University Faculty of Medicine, Aydın, Turkiye
0000-0001-7130-2530
Türkiye


Murat Özcan YAY This is me
Department of Neurosurgery, Aydın Adnan Menderes University Faculty of Medicine, Aydın, Turkiye
0000-0001-8990-7642
Türkiye

Publication Date March 15, 2022
Application Date March 23, 2021
Acceptance Date April 18, 2021
Published in Issue Year 2022, Volume 61, Issue 1

Cite

Vancouver Turgut M. , Yay M. Ö. Baş ağrısı ve anksiyete bozukluğu ile seyreden konveksite araknoid kisti tedavisinde burr hole trefinasyonu: olgu sunumu. Ege Tıp Dergisi. 2022; 61(1): 108-110.