title: [Management of arachnoid cysts of the middle cranial fossa accompanied by subdural effusions].
abstract: Subdural effusions are uncommon but known complications of arachnoid cysts of the middle cranial fossa. They mainly occur after minor head traumas in young patients. Here, we report eight cases of arachnoid cyst of the middle cranial fossa associated with subdural hematoma in five cases and hygroma in three cases. Major symptoms are signs of raised intracranial pressure. CT scan and MRI showed the cyst and the subdural effusion. An excellent therapeutic result was achieved with evacuation of the subdural fluid via burr holes in the five cases of subdural hematoma while in the two cases of hygroma a subduro-peritoneal shunt was necessary. In the last case, a temporal craniotomy was performed with evacuation of the hygroma and fenestration of the cyst. We suggest treating only the complicating event in the case of a subdural hematoma via burr holes evacuation. Whereas, in the case of hygroma we think that craniotomy with fenestration of the cyst or the use of a subdural shunt are more often needed.
authors: Service de neurochirurgie, institut national de neurologie de Tunis, faculté de médecine de Tunis, université El Manar, rue Jebbari, La Rabta, 1007 Tunis, Tunisie. khansaabderrahmen@yahoo.fr
authors: K
authors: K
authors: Abderrahmen
authors: K
authors: K
authors: Saadaoui
authors: A
authors: A
authors: Bouhoula
authors: A
authors: A
authors: Boubaker
authors: H
authors: H
authors: Jemel
mesh_terms: D016080:Arachnoid Cysts / Q000175:diagnosis / Q000601:surgery*; D002557:Cerebrospinal Fluid Shunts; D035301:Cranial Fossa, Middle / Q000473:pathology; D006259:Craniocerebral Trauma / Q000150:complications / Q000601:surgery; D006408:Hematoma, Subdural / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D018191:Lymphangioma, Cystic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D013353:Subdural Effusion / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome