Spontaneous Intracystic Hemorrhage of the Arachnoid Cyst: A Case Report and Review of Literature

Authors

  • Rajiv Jha National Neurosurgical Referral Centre National Academy of Medical Sciences Bir Hospital, Kathmandu
  • GR Sharma National Neurosurgical Referral Centre National Academy of Medical Sciences Bir Hospital, Kathmandu
  • P Kumar National Neurosurgical Referral Centre National Academy of Medical Sciences Bir Hospital, Kathmandu
  • YB Roka National Neurosurgical Referral Centre National Academy of Medical Sciences Bir Hospital, Kathmandu

DOI:

https://doi.org/10.31729/jnma.164

Abstract

Arachnoid cysts represent benign cysts that occur in the cerebrospinal axis in relation to the arachnoid
membrane and do not communicate with the ventricular system. We report a case of a years right
handed lady, who presented to the emergency department with the complaints of headache and
vomiting for one week CT scan showed extraaxial cystic lesion in the left fronto-parietal region.
On the fifth day of admission, patient had sudden onset of severe headache associated with loss of
consciousness for about 3-4 minutes with neck rigidity.
A CT scan of head was repeated, which showed left fronto-parietal cystic lesion with intracystic bleed
and SAH. Intraoperatively, there was intradural cystic lesion containing xanthochromic fluid with
normal brain surface and there were no evidence of any vascular malformations. Marsupilization
of the cystic lesion was carried out and she improved. The literature regarding arachnoid cyst with
spontaneous intracranial haemorrhage is reviewed.

Key word: arachnoid cyst, haemorrhage, intracycstic

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Published

2008-10-01

How to Cite

Jha, R., Sharma, G., Kumar, P., & Roka, Y. (2008). Spontaneous Intracystic Hemorrhage of the Arachnoid Cyst: A Case Report and Review of Literature. Journal of Nepal Medical Association, 47(172). https://doi.org/10.31729/jnma.164

Issue

Vol. 47 No. 172 (2008)

Section

Case Reports

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