Mustafa KAYA, Davut CEYLAN, Tibet KAÇIRA

Araknoid Kistler ile İlişkili Subdural Hematomlar: İki Olgu Sunumu

Araknoid kistler, meninkslerin intrakranial beyin parankimi dışında kalan konjenital malformasyonlarıdır. Birçoğu tesadüfen saptanırlar. Kafa travması sonrası subdural hematoma sebep olabilirler. Literatürde, araknoid kistler ile ilişkili subdural hematom tedavisinde çeşitli cerrahi yöntemler önerilmiştir. Bunlar; burr hole ya da kraniotomi ile subdural hematom boşaltılması, endoskopiyle kist fenestrasyonu ve subdural hematom boşaltılması, burr hole ya da kraniotomiyle subdural hematom boşaltılması sonrası kistoperitoneal şant takılmasıdır. En sık kullanılan uygulama burr hole ile subdural hematom boşaltılmasıdır. Diğer tedavi seçenekleri burr hole ile subdural hematom drenajının başarısız olduğu durumlarda önerilmektedir. Biz bu olgu sunumunda, burr hole ile subdural hematom drenajı yaparak tedavi ettiğimiz iki hastamızın sonuçlarını bildirmek istiyoruz.

Anahtar Kelimeler:

Araknoid kist, Subdural hematom, Burr Hole Drnajı

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1-Pradilla G, Jallo G. Arachnoid cysts: case series and review of the literature. Neurosurg Focus. 2007; 22: E7.
2-Wetjen NM, Walker ML. Arachnoid cysts. In. Winn HR (ed) Youmans neurological surgery. 2011; 1911– 1917.
3-Arai H, Sato K, Wachi A, Okuda O, Takeda N. Arachnoid cysts of the middle cranial fossa: Experience with 77 patients who were treated with cystoperitoneal shunting. Neurosurgery. 2006; 39: 1108–1112.
4-Czernicki T, Marchel A, Nowak A, Bojarski P. Arachnoid cyst of the middle cranial fossa presented as subdural hematomas. Neurol Neurochir Pol. 2005; 39(4): 328-334.
5-Domenicucci M, Russo N, Giugni E, Pierallini A. Relationship between supratentorial arachnoid cyst and chronic subdural hematoma: Neuroradiological evidence and surgical treatment. J Neurosurg. 2009; 110: 1250-1255.
6-Gunduz B, Yassa MI, Ofluoglu E, Ekinci B, Erdogan U, Asilturk M, Toplamaoglu H. Two cases of arachnoid cyst complicated by spontaneous intrcystic hemorrhage. Neurol India. 2010; 58(2): 312-315.
7-Page A, Paxton RM, Mohan D. A reappraisal of the relationship between arachnoid cysts of the middle fossa and chronic subdural haematoma. J Neurol Neurosurg Psychiatry. 1987; 50: 1001–1007.
8-Bilginer B, Onal MB, Oguz KK, Akalan N. Arachnoid cyst associated with subdural hematoma: report of three cases and review of the literature. Childs Nerv Syst. 2009; 25:119–124.
9- Wester K, Helland CA. How often do chronic extra-cerebral haematomas occur in patients with intracranial arachnoid cysts? J Neurol Neurosurg Psychiatry. 2008; 79:72–75.
10-Kushida Y, Terao H, Shibata I, Shishido M, Seiki Y, Tsutsumi S. Chronic subdural hematoma associated with arachnoid cyst —study of the mechanism of its development. No Shinkei Geka. 1983; 11:1211–1217.
11-Zhang H, Zhang JM, Chen G. Chronic subdural hematoma associated with arachnoid cyst: report of two cases. Chin Med J (Engl). 2007; 120:2339–2340.
12-Haines DE, Harkey HL, al-Mefty O. The "subdural" space: a new look at an outdated concept. Neurosurgery. 1993; 32:111–120.
13-Hopkin J,Mamourian A, Lollis S, Duhaime T. The next extreme sport? Subdural hematoma in a patient with arachnoid cyst after head shaking competition. British Journal of Neurosurgery. 2006; 20(2): 111-113.
14-Rengachary SS, Watanabe I, Brackett CE. Pathogenesis of intracranial arachnoid cysts. Surg Neurol. 1978; 9: 139–144.
15- Rengachary SS, Watanabe I. Ultrastructure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol. 1981; 40:61–83.
16-Parsch CS, Krauss J, Hofmann E, Meixensberger J, Roosen K. Arachnoid cysts associated with subdural hematomas and hygromas: analysis of 16 cases, long-term follow-up, and review of the literature. Neurosurgery. 1997; 40: 483–490.
17-Leung GK, Fan YW. Chronic subdural hematoma and arachnoid cyst in autosomal dominanat polycystic kidney disease (ADPKD). J Clin Neurosci. 2005; 22: 7: 817-819.
18-Ibarra R, Kesava PP. Role of MR imaging in the diagnosis of complicated arachnoid cyst. Pediatr Radiol. 2000; 30: 329–331.
19-Ieconetta G, Esposito M, Maiuri F, Cappabianca P. Arachnoid cyst with intracystic hemorrhage and subdural hematoma: Case report and literature review. Neurol Sci. 2006; 26: 451-455.
20-Rogers AR, Klug GL, Sıu KH. Middle fossa aracnoid cyst in association with subdural hematomas. A review and recommendations for management. British Journal of Neurosurgery. 1990; 4: 497-501.
21- Tao ZS, Sheng SHI, Yu-feng LIN. Chronic subdural hematoma associated with sylvian arachnoid cyst in juvenile athletes: report of two cases and literature review: Chinese Journal of Traumatology (English Edition). 2011; 14: 174-177.
22- Takeshi T, Kunyu H, Shigeru N, Jun O, Tohru N, Hisashi T. Chronic Subdural Hematoma Associated With Arachnoid Cyst: Two Case Reports With Pathological Observations:Neurologia medico-chirurgica. 2012; 52: 2: 113-117.
23- Jiin K, MD, Kum W, MD, Soon-KH, MD, Jin-SP, MD, Sung-MC, MD, Jong-YK, MD, So-HK, MD, and Ji-WO, MD. Middle Meningeal Artery Embolization in Recurrent Chronic Subdural Hematoma Combined with Arachnoid Cyst:Korean Jof Neurutravma. 2015; 11: 2: 187–190.
24-Ken T, Takatoshi S, Yumie H Hideo I, Tanefumi B, Takahiro O, Jun N, Go I, and Mitsunori M . Chronic Subdural Hematomas Associated with Arachnoid Cysts: Significance in Young Patients with Chronic Subdural Hematomas: Neurol Med Chir (Tokyo). 2015; 55:9: 727–734.
25-Tadayuki T, Yohei K, Kodai K, Kazuyo I, Masaki K, Tetsuo T, Kazushi D, Tsutomu M. Dialysis-induced Subdural Hematoma in an Arachnoid Cyst Associated with Autosomal Dominant Polycystic Kidney Disease:Internal medicine. 2016; 55:15: 2065-2067.
26-Alfredo DG, Francesco G, Gianluigi G, and Mario M. Giant arachnoid cyst associated with acute subdural haematoma: A case report: Neuroradiol J. 2017; 30(3): 286–289.
27-Sashanka K, Ajay H, and Girish M. Chronic Subdural Hematoma Associated with Congenital Arachnoid Cysts: Management Dilemmas: Cureus. 2018; 10(4): e2550.
28-Ryan J, Abdul A, and Hamad F . Spontaneous Acute Subdural Hematoma Associated with Arachnoid Cyst and Intra-cystic Hemorrhage. Cureus. 2018; 10(9): e3383.
29-Megan CK, Lee AT, Roham M, and Manish KK. Nontraumatic Subdural Hematoma and Intracystic Hemorrhage Associated with a Middle Fossa Arachnoid Cyst. Asian J Neurosurg. 2018; 13(1): 116–118.
30-Mehmet E A, MD, Mehmet SY, MD, Muhammed A D, MD, Ashkan H. B, MD, and Daddy Mata-M, MD, PHD .Arachnoid cysts with spontaneous intracystic hemorrhage and associated subdural hematoma: Report of management and follow-up of 2 cases. Radiol Case Rep. 2018; 13(2): 516–521.
31-Evren A, Tufan H. Spontaneous Intracystic Haemorrhage of an Arachnoid Cyst Associated with a Subacute Subdural Haematoma: A Case Report and Literature Review. Turk Neurosurg. 2019; 29(6): 940-944.
32-Do-YK, Sungjoon L, Byung-Sam C, and Jung-Soo K. Spontaneous Disappearance of an Arachnoid Cyst after Burr Hole Drainage of Chronic Subdural Hematoma. Korean J Neurotrauma. 2019; 15(2): 159–163.
33-Dong UK, Hye R P, Jae CC, Sukh QP, Sung Jin C, and Hyung Ki P. Disappearance of Arachnoid Cyst after Burrhole Trephination: Case Series. Korean J Neurotrauma. 2019; 15(2): 170–175.
34- Leopoldo MFF, José Aloysio CVF, Raquel Ida F, and Italo Guilherme G de Freitas M.Intracranial arachnoid cyst rupture after mild TBI in children: have we underestimated this risk. BMJ Case Rep. 2019; 12(4): e228790.
35-Rajendra S and Chao Y. Spontaneous chronic subdural hematoma associated with arachnoid cyst in children and young adults. Asian J Neurosurg. 2014; 9(3): 168–172.
36- Amar PP, Patrick JO, Khalid HK, Fabio R. Spontaneous Subdural Hematoma and Intracystic Hemorrhage in an Arachnoid Cyst. Radiol Case Rep. 2015; Dec 7;4(3):298.
37-Atilla K, Murat M, Barış Ö, Tufan C, Adem Y, Ayça K, Balkan Ş.Türk Nöroşirurji Dergisi. 2017; EPS