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Subdural hemorrhage in middle cranial fossa arachnoid cysts: a report of two cases at two ends of the spectrum

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Abstract

Arachnoid cysts are usually asymptomatic, benign lesions commonly occurring in the middle cranial fossa. However, the cysts may rupture in rare cases causing intracystic or subdural hemorrhages with significant mass effect. We report two cases of middle cranial fossa arachnoid cyst with subdural hemorrhage with very different clinical course. The first case presented with significant mass effect with cerebral herniation and had significant neurological morbidity post-surgery. The second case had minimal symptoms and was managed conservatively with offer of elective surgery. The report underscores the importance of prompt diagnosis and appropriate surgical intervention in managing arachnoid cysts with hemorrhage, highlighting the potential for diverse clinical presentations and outcomes.

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Authors and Affiliations

  1. Department of Neurosurgery, Institute of Neurosciences, Kolkata, India

    Debajyoti Datta, Debajyoti Pathak, Partha Ghosh & Sutirtha Hazra

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  1. Debajyoti Datta
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  2. Debajyoti Pathak
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  3. Partha Ghosh
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  4. Sutirtha Hazra
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Dr. Debajyoti Datta and Dr. Debajyoti Pathak. The first draft of the manuscript was written by Dr. Debajyoti Datta and all authors commented on the previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Debajyoti Datta.

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Datta, D., Pathak, D., Ghosh, P. et al. Subdural hemorrhage in middle cranial fossa arachnoid cysts: a report of two cases at two ends of the spectrum. Childs Nerv Syst 40, 263–266 (2024). https://doi.org/10.1007/s00381-023-06107-8

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  • DOI: https://doi.org/10.1007/s00381-023-06107-8

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