Giant arachnoid cyst ¿Should the pediatrician be alarm? Case report associated with spontaneous intracystic hemorrhage.

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Monica Paola Gutierrez Gaitan
Andrés Montoya
Javier-Yesid Pinzon-Salamanca
Monica Cediel Echeverri
Jose-Miguel Suescun-Vargas

Abstract

Background: Arachnoid cysts are benign unilocular masses composed of a collagenous membrane, lined by arachnoid cells, with cerebrospinal fluid. Case report: We present the case of a 9-year-old boy with headache, nausea, and vomiting, with a subsequent diagnosis of a giant arachnoid cyst parietal-temporal-left frontal, with a deviation of the midline to the right, with spontaneous intracystic hemorrhage documented by neuroimaging (brain magnetic resonance imaging without contrast), without behavioral changes, seizures, or deficits in neurological status. A surgical approach was performed with craniotomy and drainage of a subdural blood collection that compressed the adjacent parenchyma with suspected cerebrospinal fluid fistula without signs of intracranial hypertension. Conclusions: Currently, the incidence of arachnoid cysts has increased in pediatric patients, being evident from the third trimester of gestation, with a high prevalence in men and the left hemisphere. A pediatric clinical approach is performed for a convenient approach.

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How to Cite
Gutierrez Gaitan, M. P., Montoya , A. ., Pinzon-Salamanca , J.-Y. ., Cediel Echeverri , M., & Suescun-Vargas, J.-M. . . (2021). Giant arachnoid cyst ¿Should the pediatrician be alarm? Case report associated with spontaneous intracystic hemorrhage. Pediatría, 53(4), 158–161. https://doi.org/10.14295/rp.v53i4.210
Section
Case report

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