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

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 trephinasyon yoluyla cerrahi drenaj ile tedavi edilen nadir bir konveksite AK olgusu sunulmaktadır.

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

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. Here, we present a rare case of convexity AC that caused headache and anxiety disorder and was treated with surgical drainage via burr-hole trephination.

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