Roller coaster headaches revisited.
BACKGROUND
Roller coasters are probably one of the more popular rides at amusement parks around the world. Despite their relative safety, nontraumatic intracranial injuries have been reported following roller coaster rides. The presence of an intracranial arachnoid cyst may increase the risk of nontraumatic injury in this setting.


METHODS
We describe a 33-year-old female with a left middle fossa arachnoid cyst who presented with increasing headaches from bilateral subdural hygromas after a roller coaster ride. The patient underwent bilateral burr hole drainage of her subdural hygromas with resolution of her symptoms.


CONCLUSIONS
This case demonstrates the potential risks of intracranial injury in patients with an underlying arachnoid cyst who engage in certain types of recreational activity.
Department of Neurosurgery, NYU Medical Center, New York, New York, USA.
Paul P
PP
Huang
D000328:Adult; D016080:Arachnoid Cysts / Q000150:complications*; D004322:Drainage; D005260:Female; D006261:Headache / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007899:Leisure Activities; D013353:Subdural Effusion / Q000150:complications* / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed