Hydrocephalus Following Surgery of Thoracic Intradural Arachnoid Cyst: A Case Report

被引：1

作者：

Ozger, Ozkan ^{[1
]}

Kaplan, Necati ^{[2
]}

机构：

[1] Istinye Univ, Canakkale Anadolu Hosp, Fac Med, Dept Neurosurg, Canakkale, Turkey

[2] Rumen Univ, Corlu Reyap Hosp, Neurosurg Clin, Tekirdag, Turkey

来源：

TURKISH NEUROSURGERY | 2020年 / 30卷 / 02期

关键词：

Cerebrospinal fluid leakage; Hydrocephalus; Intradural arachnoid cyst; Ventriculoperitoneal shunt; INTRACRANIAL HYPOTENSION;

D O I：

10.5137/1019-5149.JTN.26870-19.3

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Spinal intradural arachnoid cysts (SIACs) are cerebrospinal fluid (CSF) sacs formed by arachnoid membranes. They may be idiopathic or acquired. Treatment is resection, fenestration, or cyst drainage. A 41-year-old female patient presented with myelopathy symptoms and complaints. Magnetic resonance imaging (MRI) revealed a T6-T10 dorsal intradural arachnoid cyst. A T6-T10 laminectomy was performed and an arachnoid cyst was excised under surgical microscope. The cyst contained a clear liquid that was surrounded by a transparent membrane. At 7 weeks postoperatively, the patient experienced severe headache, excessive sleepiness, vomiting, loss of coordination, difficulty walking, and difficulty concentrating. A head computed tomography (CT) scan showed marked ventricular dilation that was diagnosed as delayed hydrocephalus. The patient underwent ventriculoperitoneal shunt (VPS) placement one day after admission. This is a rare condition of hydrocephalus that develops due to CSF leakage after SIAC surgery.

引用

页码：307 / 311

页数：5