Subdural hygroma in association with middle fossa arachnoid cyst: acetazolamide therapy |
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| Affiliation: | 1. Inserm UMRS-1144, Paris-Descartes University, Paris, France;2. Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, Paris, France;3. Pharmacokinetics and Pharmaco-chemistry Unit, Cochin Hospital, Paris, France;4. Laboratory of Toxicology, Lariboisière Hospital, Paris, France;1. Department of Pediatric Neurology, Fukuoka Children''s Hospital, Fukuoka, Japan;2. Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan;3. Department of Neurology, National Hospital Organization Yonezawa Hospital, Yonezawa, Japan;1. Genetics Department, Centro de Investigación Biomédica en Red en Enfermedades Raras (CIBERER CB06/07/0011), Hospital de la Santa Creu I Sant Pau, IIB Sant Pau, C/Sant Antoni Mª Claret 167, Barcelona, Spain;2. Neuromuscular disorders Unit, Neurology Department, Centro de Investigación Biomédica en Red en Enfermedades Raras (CIBERER CB06/05/0030), Universitat Autònoma de Barcelona, Hospital de la Santa Creu I Sant Pau, C/Sant Antoni Mª Claret 167, Barcelona, Spain;3. The John Walton Muscular Dystrophy Research Centre, MRC Centre for Neuromuscular disorders, Institute of Genetic Medicine, Central Parkway, Newcastle Upon Tyne, UK;4. Neuromuscular disorders Unit, Neurology department, Universitat Autònoma de Barcelona, Hospital de la Santa Creu I Sant Pau, Barcelona, Spain;5. Genetics Department, Hospital de la Santa Creu I Sant Pau, IIB Sant Pau, Barcelona, Spain |
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| Abstract: | Intracranial arachnoid cysts are cerebrospinal fluid-filled collections between arachnoid layers. While many are silent, arachnoid cysts can become symptomatic if there is sudden expansion, haemorrhage or rupture with the development of subdural hygroma or subdural hematoma. Several studies have demonstrated the association of arachnoid cysts with subdural hygroma and subdural hematoma. We describe a 9-year-old girl with a moderate-sized middle-fossa arachnoid cyst and bilateral frontal subdural hygroma presenting with raised intracranial pressure. She was treated with acetazolamide which resulted in resolution of the subdural hygroma and relief of symptomatology. |
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