Gelabert-González Miguel, Fernández-Villa Juan, Cutrín-Prieto Juan, Garcìa Allut Alfredo, Martínez-Rumbo Ramón
Service of Neurosurgery, Department of Surgery, Clinic Hospital of Santiago, University of Santiago de Compostela, La Choupana, 15706 Santiago de Compostela, Spain.
Childs Nerv Syst. 2002 Nov;18(11):609-13. doi: 10.1007/s00381-002-0651-7. Epub 2002 Aug 29.
Arachnoid cysts are believed to account for about 1% of all intracranial expansive lesions, some remain inactive throughout life, others lie dormant for many years before clinical manifestation. In a few cases, arachnoid cysts have ruptured after cranial trauma or more rarely, spontaneously, with resultant subdural haemorrhage or CSF collection.
We report three cases with traumatic rupture of arachnoid cyst into the subdural space in children, which is an extremely unusual complication.
A review of the literature revealed only 18 previously reported cases.
蛛网膜囊肿被认为约占所有颅内占位性病变的1%,一些囊肿终生无变化,另一些在临床表现出现前可潜伏多年。少数情况下,蛛网膜囊肿在颅脑外伤后破裂,更罕见的是自发破裂,导致硬膜下出血或脑脊液聚集。
我们报告了3例儿童蛛网膜囊肿外伤性破裂进入硬膜下腔的病例,这是一种极其罕见的并发症。
文献回顾显示此前仅报道过18例。