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Post-craniotomy leptomeningeal cyst: a new presentation of an old problem.
- Source :
-
Child's Nervous System . Sep2024, Vol. 40 Issue 9, p2977-2980. 4p. - Publication Year :
- 2024
-
Abstract
- Leptomeningeal cyst (LMC) is a known complication of pediatric head injury but has not been described following a craniotomy other than for craniosynostosis. We present the case of a 20-month-old boy who underwent craniotomy for a traumatic epidural hematoma. There was an inadvertent tear of the dura which was repaired with a pericranial patch and dural sealant. The patient presented with a progressive surgical site swelling 5 months post-surgery and a CT scan revealed an LMC with elevation of the bone flap. He underwent re-exploration with watertight repair of the dural defect and rigid fixation of the bone flap. This iatrogenic LMC provides an opportunity to compare and confirm the pathogenesis vis a vis the more common spontaneous post-traumatic LMC. Our report highlights the importance of proper dural closure and bone fixation after craniotomy in children whose skulls are still growing. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 02567040
- Volume :
- 40
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Child's Nervous System
- Publication Type :
- Academic Journal
- Accession number :
- 179040583
- Full Text :
- https://doi.org/10.1007/s00381-024-06515-4