Intracranial arachnoid cyst rupture after mild TBI in children: have we underestimated this risk?

BMJ Case Rep. 2019 Apr 30;12(4):e228790. doi: 10.1136/bcr-2018-228790.

Abstract

The association between intracranial arachnoid cyst rupture and mild brain trauma is infrequently reported. The purpose of this case report is to describe the case of a child with a left temporal arachnoid cyst who suffered rupture with haemorrhage after mild trauma during a football match. The child presented with chronic headache of mild intensity that progressed to a more intense headache after a traumatic event. He underwent surgical intervention after diagnosis of chronic haemorrhage in an arachnoid cyst in the ipsilateral subdural space. The risk of intracranial arachnoid cyst rupture should be considered during the evaluation of oligosymptomatic patients because it is a potentially catastrophic event.

Keywords: coma and raised intracranial pressure; neuroimaging; neurological injury; neurosurgery.

Publication types

  • Case Reports

MeSH terms

  • Arachnoid Cysts / diagnostic imaging*
  • Arachnoid Cysts / surgery
  • Athletic Injuries
  • Brain Concussion / complications*
  • Brain Concussion / diagnostic imaging
  • Brain Concussion / surgery
  • Child
  • Craniotomy / methods*
  • Diplopia / diagnostic imaging
  • Diplopia / etiology*
  • Drainage
  • Headache / diagnostic imaging
  • Headache / etiology*
  • Hematoma, Subdural, Chronic / diagnostic imaging*
  • Hematoma, Subdural, Chronic / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Rupture, Spontaneous / diagnostic imaging*
  • Rupture, Spontaneous / surgery
  • Treatment Outcome