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Occipital post-traumatic intradiploic arachnoid cyst converted to pseudomeningocele after re-trauma: a rare complication of rare pathology.
- Source :
-
Pediatric neurosurgery [Pediatr Neurosurg] 2015; Vol. 50 (1), pp. 53-5. Date of Electronic Publication: 2015 Jan 21. - Publication Year :
- 2015
-
Abstract
- Background: Growing skull fracture (GSF)/pseudomeningocele is a rare complication of head injury in children. Post-traumatic intradiploic arachnoid cyst (PTIAC) is a variant but it is extremely rare. PTIACs are usually asymptomatic or with mild symptoms like headache. The rupture of PTIAC due to re-trauma leading to pseudomeningocele formation has not been seen or reported before.<br />Patient and Method: We present a case of occipital PTIAC where pseudomeningocele developed after re-trauma, and discuss the pathogenesis and management.<br />Result: En masse removal of the ruptured PTIAC was performed along with dural-defect repair. The post-operative recovery was good.<br />Conclusion: PTIAC is an extremely rare occurrence as a variant of GSF. It is usually asymptomatic, but it may rupture with trivial trauma due to a thinned-out outer table and then converts into pseudomengocele. En masse excision with dural-defect repair gives good results in cases of ruptured PTIAC due to re-trauma.
- Subjects :
- Arachnoid Cysts etiology
Arachnoid Cysts surgery
Child, Preschool
Humans
Male
Meningocele etiology
Meningocele surgery
Occipital Bone surgery
Skull Fractures complications
Skull Fractures surgery
Arachnoid Cysts diagnosis
Meningocele diagnosis
Occipital Bone pathology
Skull Fractures diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1423-0305
- Volume :
- 50
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Pediatric neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 25613570
- Full Text :
- https://doi.org/10.1159/000369936