Occipital post-traumatic intradiploic arachnoid cyst converted to pseudomeningocele after re-trauma: a rare complication of rare pathology.

Abstract:

BACKGROUND:Growing skull fracture (GSF)/pseudomeningocele is a rare complication of head injury in children. Post-traumatic intradiploic arachnoid cyst (PTIAC) is a variant but it is extremely rare. PTIACs are usually asymptomatic or with mild symptoms like headache. The rupture of PTIAC due to re-trauma leading to pseudomeningocele formation has not been seen or reported before. PATIENT AND METHOD:We present a case of occipital PTIAC where pseudomeningocele developed after re-trauma, and discuss the pathogenesis and management. RESULT:En masse removal of the ruptured PTIAC was performed along with dural-defect repair. The post-operative recovery was good. CONCLUSION:PTIAC is an extremely rare occurrence as a variant of GSF. It is usually asymptomatic, but it may rupture with trivial trauma due to a thinned-out outer table and then converts into pseudomengocele. En masse excision with dural-defect repair gives good results in cases of ruptured PTIAC due to re-trauma.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Jaiswal M,Gandhi A,Sharma A,Mittal RS

doi

10.1159/000369936

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

53-5

issue

1

eissn

1016-2291

issn

1423-0305

pii

000369936

journal_volume

50

pub_type

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