Kaohsiung Journal of Medical Sciences
Volume 24, Issue 1 , Pages 41-44, January 2008

Chronic Subdural Hematoma Associated with Arachnoid Cyst in Young Adults: A Case Report

Division of Neurosurgery, Department of Surgery, Cathay General Hospital, Taipei, Taiwan

Received 18 December 2006; accepted 6 June 2007.

Article Outline

Inrracranial arachnoid cysts are believed to be congenital; they can become symptomatic in pediarric patients. Chronic subdural hematomas tend to occur in elderly patients with a history of mild head injury a few months prior to the onset of symptoms. However, these two distinct clinical entities sporadically occur together in relatively young patients. We report a 29-year-old man who presented with headache and dizziness of 2 months' duration. Brain computed tomography revealed a huge chronic subdural hematoma over the left frontoparietal lobe, with an incidental finding of an arachnoid cyst over the left sylvian fissure. In light of a literature review, we discuss arachnoid cysts as a possible risk factor for subdural hematoma, especially in young adults.

Key Words:  arachnoid cyst , chronic subdural hematoma , head injury

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References 

  1. 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
  2. Robinson RG . Congenital cysts of the brain: arachnoid malformations . Progr Neurosurg . 1971;4:133–174
  3. Kushida Y , Terao H , Shibata I , et al.   Chronic subdural hematoma associated with arachnoid cyst: study of the mechanism of its development . No Shinkei Geka . 1983;11:1211–1217
  4. 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
  5. Galassi E , Tognetti F , Pozzati E , et al.   Extradural hematoma complicating middle fossa arachnoid cyst . Childs Nerv Syst . 1986;2:306–308
  6. Mori K , Yamamoto T , Horinaka N , et al.   Arachnoid cyst is a risk factor for chronic subdural hematoma in juveniles: twelve cases of chronic subdural hematoma associated with arachnoid cyst . J Neurotrauma . 2002;19:1017–1027
  7. Demetriades AK , McEvoy AW , Kitchen ND . Subdural hematoma associated with an arachnoid cyst after repetitive minor heading injury in ball games . Br J Sports Med . 2004;38:8–10

PII: S1607-551X(08)70072-X

doi:10.1016/S1607-551X(08)70072-X

Kaohsiung Journal of Medical Sciences
Volume 24, Issue 1 , Pages 41-44, January 2008

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