151. Konzervativní management prasklé Galassi III arachnoideální cysty střední jámy lební.
- Author
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Lodin, J., Hejčl, A., Radovnický, T., and Sameš, M.
- Subjects
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ARACHNOID cysts , *CEREBROSPINAL fluid , *HEMORRHAGE , *CYST rupture , *SURGICAL complications - Abstract
Background: Arachnoid cysts (ACs) are congenital benign collections of cerebrospinal fluid (CSF) making up to 1% of intracranial lesions and with an estimated at 2,6% in the pediatric population. Conservative and surgical treatment is available for these lesions, yet no specific treatment algorithm is widely accepted. Treatment of choice various based on clinical symptoms, cyst size and location and associated complications such as subdural or intracystic hemorrhage. There is general consensus is that symptomatic ACs are indicated for surgical treatment. Case Description: The following case report depicts the case of a 15-year-old boy with a large Galassi Type III arachnoid cyst, which was firstly asymptomatic and later presented with transient focal neurological deficits following rupture. A conservative approach was used throughout the case and resulted in spontaneous resolution of the cyst. A short literature review of conservatively treated symptomatic ACs is presented. Conclusion: This case report demonstrates that a conservative approach of arachnoid cyst treatment may be successful in specific cases of large, symptomatic Galassi III arachnoid cysts, thus avoiding potential surgical risk. Although we believe that a surgical approach is warranted in the majority of cases with symptomatic ACs, a conservative approach should be considered in ACs with mild, transient or vague clinical symptoms and stable diagnostic imaging. [ABSTRACT FROM AUTHOR]
- Published
- 2019