Journal
JOURNAL OF NEUROSURGERY-PEDIATRICS
Volume 15, Issue 2, Pages 203-206Publisher
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2014.9.PEDS14126
Keywords
arachnoid cyst; infarction; craniotomy; reperfusion injury; congenital
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Intracranial arachnoid cysts are a rare condition thought to be congenital in nature. Treatment of intracranial arachnoid cysts remains controversial based on their variable presentation. Treatment options include CSF shunting, endoscopic fenestration, or craniotomy and open fenestration for larger cysts. The complications of these procedures can include hydrocephalus, subdural hematomas, hygromas, and-more rarely-intraparenchymal hemorrhage. The authors found very few reports of hemorrhagic infarction as a complication of arachnoid cyst fenestration in the literature. The authors report a case of an 18-year-old female patient who suffered an ipsilateral hemorrhagic infarction after craniotomy for open fenestration of an arachnoid cyst.
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