title: Hemorrhagic infarction following open fenestration of a large intracranial arachnoid cyst in a pediatric patient.
abstract: 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.
authors.affiliation: Department of Neurosurgery, University of Tennessee Health Science Center;
authors.forename: Tyler
authors.initials: T
authors.lastname: Auschwitz
authors.forename: Michael
authors.initials: M
authors.lastname: DeCuypere
authors.forename: Nickalus
authors.initials: N
authors.lastname: Khan
authors.forename: Stephanie
authors.initials: S
authors.lastname: Einhaus
mesh_terms: D000293:Adolescent; D016080:Arachnoid Cysts / Q000473:pathology / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000209:etiology; D002544:Cerebral Infarction / Q000209:etiology*; D003399:Craniotomy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans
keywords: ICP = intracranial pressure; arachnoid cyst; congenital; craniotomy; infarction; reperfusion injury