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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.43 no.1 São Paulo Mar. 1985

http://dx.doi.org/10.1590/S0004-282X1985000100014 

Cisto aracnoideo intracraniano associado com higroma subdural: registro de um caso

 

Intracranial arachnoid cyst with subdural hygroma: a case report

 

 

Aloisio C. Tortelly-CostaI; Marcos R. G. de FreitasI; Roberto Mauro S. de SáII; Benjamim F. SilvaIII

IProfessor Adjunto. Faculdade de Medicina da Universidade Federal Fluminense
IIProfessor Assistente. Faculdade de Medicina da Universidade Federal Fluminense
IIINeurocirurgião. Faculdade de Medicina da Universidade Federal Fluminense

 

 


RESUMO

Relata-se o caso de um menino de 10 anos com um cisto aracnóideo congênito na fossa média direita. Os sintomas foram precipitados por traumatismo crânio-encefálico de moderada intensidade ocorrido alguns dias antes do inicio do quadro clínico. A tomografia axial computadorizada demonstrou a presença de higroma subdural fronto-parietal direito, responsável pela síndrome de hipertensão intracraniana. A influência do cisto na formação do higroma é sugerida. Os mecanismos de crescimento, a etiologia, aspectos clínicos, o diagnóstico e o tratamento cirúrgico dos cistos aracnóideos são discutidos.


SUMMARY

A case of a 10-year-old boy with a congenital arachnoid cyst in the right middle cranial fossa is reported. The symptoms were precipitated by head injury of moderate intensity, occurred some days before the beginning of the clinical picture. The computerized tomography has demonstrated the existence of a simultaneous right fronto-parietal subdural hygroma that was responsible for the intracranial hypertension syndrome. The influence of the cyst in the hygroma formation has been suggested. The mechanisms of growth, the etiology, clinical aspects, the diagnostics and the surgical treatment of the arachnoid cysts are discussed.


 

 

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Trabalho das Disciplinas de Neurologia e Neurocirurgia da Faculdade de Medicina da Universidade Federal Fluminense.
Disciplina de Neurocirurgia, Hospital Universitário Antonio Pedro, da U.F.F. - Rua Marquês de Paraná - 24000, Niterói, RJ - Brasil.

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