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

Intracranial arachnoid cyst with subdural hygroma: a case report

Resumos

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.


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.


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.

  • 1. AICARDI, J. & BAUMAN, F. - Supratentorial extracerebral cysts in infants and children. J. Neurol. Neurosurg. Psychiat. 38:57, 1975.
  • 2. ANDERSON, F.M. & LANDING, B.H. - Cerebral arachnoid cysts in infants. J. Ped. 69:88, 1966.
  • 3. ANDERSON, F.M. & SEGALL, H.D. - Intracranial arachnoid cysts. In: Pediatric Neurosurgery: Surgery of the Developing Nervous System. Grune & Stratton, New York, 1982, pg. 111.
  • 4. BHANDARI, Y.S. - Non-communicating supratentorial subarachnoid cysts. J. Neurol. Neurosurg. Psychiat 35:763, 1972.
  • 5. CHILDE, A.E. - Localized thinning and enlargement of the cranium with special reference to the middle fossa. Amer. J. Roent. rad. Ther. nucl. Med. 70:1, 1953.
  • 6. COHEN, I. - Chronic sub-dural accumulations of cerebrospinal fluid after cranial trauma; report of a case. Arch. Neurol. Psychiat. 18:709, 1927.
  • 7. DREW, J.H. & GRANT, F.C. - Benign cysts of the brain; an analysis with comparison of results of operative and non-operative treatment in thirty cases. J. Neurosurg. 5:107, 1948.
  • 8. GARDNER, W.J.; McCORMACK, L.J. & DOHN, D.F. - Embryonal atresia of the fourth ventricle; the cause of «arachnoid cyst» of the cerebellopontine angle. J. Neurosurg. 17:226, 1960.
  • 9. GHATAK, N.R. & MUSHRUSH, G.J. - Supratentorial intra-arachnoid cyst; case report. J. Neurosurg. 35:477, 1971.
  • 10. HANDA, H. & BUCY, P.C. - Benign cysts of brain simulating brain tumor. J. Neurosurg. 13:489, 1956.
  • 11. HARRISON, M.J.G. - Cerebral arachnoid cysts in children. J. Neurol. Neurosurg. Psychiat. 34:316, 1971.
  • 12. HOLST, S. - Congenital intracranial arachnoid cysts; case reports and discussion of the pathogenesis. J. Oslo City Hosp. 15:113, 1965.
  • 13. JAKUBIAK, P.; DUNSMORE, R.H. & BECKETT, M.D. - Supratentorial brain cysts. J. Neurosurg. 28:129, 1968.
  • 14. LEE, B.C.P. - Intracranial cysts. Radiology 130:667, 1979.
  • 15. MOORE, M.T. & BOOK, M.H. - Congenital cervical ependymal cyst; report of acase with symptoms precipitated by injury. J. Neurosurg. 24:558, 1966.
  • 16. OLIVER, L.C. - Primary arachnoid cysts; report of two cases. Brit. med. J. 1:1147, 1958.
  • 17. RING, B.A. & WADDINGTON, M. - Primary arachnoid cysts of the sella turcica. Amer. J. Roentgenol. 98:611, 1966.
  • 18. ROBINSON, R.G. - Intracranial collections of fluid with local bulging of the skull. J. Neurosurg. 12:345, 1955.
  • 19. STARKMAN, S.P.; BROWN, T.C. & LINELL, E.A. - Cerebral arachnoid cysts. J. Neuropathol. exper. Neurol. 17:484, 1958.
  • 20. TAVERAS, J.M. & RANSOHOFF, J. - Leptomeningeal cysts of the brain following trauma with erosion of the skull; a study of seven cases treated by surgery. J. Neurosurg. 10:233, 1953.
  • 21. TIBERIN, P. & GRUSZKIEWICZ, J. - Chronic arachnoidal cysts of the middle cranial fossa and their relation to trauma. J. Neurol. Neurosurg. Psychiat. 24:86, 1961.
  • 22. WEINMAN, D.F. - Arachnoidal cysts in the sylvian fissure of the brain. J. Neurosurg. 22:185, 1965.
  • 23. WILSON, C.B. & BERTAN, V. - Cerebral leptomeningeal cysts of developmental origin. Amer. J. Roentgenol. 98:570, 1966.

Datas de Publicação

  • Publicação nesta coleção
    13 Ago 2012
  • Data do Fascículo
    Mar 1985
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