Intraparenchymal hemorrhage after surgical decompression of a Sylvian fissure arachnoid cyst

Intracranial arachnoid cysts are a rare condition thought to be congenital in nature. Treatment of intracranial arachnoid cysts remains controversial based on their variable presentation. Treatment options include CSF shunting, endoscopic fenestration, or craniotomy and open fenestration for larger cysts. The complications of these procedures can include hydrocephalus, subdural hematomas, hygromas, and—more rarely—intraparenchymal hemorrhage. The authors found very few reports of hemorrhagic infarction as a complication of arachnoid cyst fenestration in the literature. The authors report a case of an 18-year-old female patient who suffered an ipsilateral hemorrhagic infarction after craniotomy for open fenestration of an arachnoid cyst.

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A Case of Clozapine-Resistant Schizophrenia Associated With a Large Arachnoid Cyst in the Left Sylvian Fissure

African Journal of Psychiatry ◽

10.4172/psychiatry.1000176 ◽

2014 ◽

Vol 17 (06) ◽

Author(s):

Chang Hyun Jang Joonho Choi

Keyword(s):

Arachnoid Cyst ◽

Sylvian Fissure

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Simultaneous bone remodeling and surgical decompression of large Sylvian arachnoid cyst

Neurosurgical Review ◽

10.1007/s10143-018-0954-0 ◽

2018 ◽

Vol 41 (2) ◽

pp. 683-688

Author(s):

Bojana Zivkovic ◽

Mirko Micovic ◽

Vladimir Bascarevic ◽

Andrija Savic ◽

Lukas Rasulic

Keyword(s):

Bone Remodeling ◽

Arachnoid Cyst ◽

Surgical Decompression

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Cognitive disorders in a patient with an arachnoid cyst of the sylvian fissure and improvement after surgical treatment: Case description

Applied Neuropsychology Child ◽

10.1080/21622965.2017.1385460 ◽

2017 ◽

Vol 8 (2) ◽

pp. 182-186 ◽

Cited By ~ 1

Author(s):

Karolina Kwiatkowska ◽

Agata Hałabuda ◽

Justyna Rybus ◽

Stanisław Kwiatkowski

Keyword(s):

Surgical Treatment ◽

Arachnoid Cyst ◽

Cognitive Disorders ◽

Sylvian Fissure ◽

Case Description

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Technique of redo endoscopic cystocisternostomy in Sylvian fissure arachnoid cyst

Interdisciplinary Neurosurgery ◽

10.1016/j.inat.2019.04.007 ◽

2019 ◽

Vol 18 ◽

pp. 100462

Author(s):

Albert Akramovich Sufianov ◽

Iurii Alekseevich Iakimov ◽

Malika Mirzoalievna Abdumazhitova ◽

Rinat Albertovich Sufianov

Keyword(s):

Arachnoid Cyst ◽

Sylvian Fissure

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Hepatic Compartment Syndrome Treated with Damage Control Surgery and Transarterial Embolization: A Case Report

10.21203/rs.3.rs-910646/v1 ◽

2021 ◽

Author(s):

Motoo Fujita ◽

Takeaki Sato ◽

Kei takase ◽

Tomomi Sato ◽

Hajime Furukawa ◽

...

Keyword(s):

Compartment Syndrome ◽

Nonoperative Management ◽

Damage Control ◽

Transarterial Embolization ◽

Damage Control Surgery ◽

Surgical Decompression ◽

Intraparenchymal Hemorrhage ◽

Combination Strategy ◽

Hemorrhage Control ◽

Hepatocellular Damage

Abstract Background: Hepatic compartment syndrome (HCS) is a complication of nonoperative management in patients with blunt hepatic injury. Although decompression of elevated intrahepatic pressure through surgical exploration or drainage and hemorrhage control are required to manage this condition, evidence for such a management for this complication is insufficient. Herein, we report a pediatric patient treated with a planned combination strategy of surgical decompression with perihepatic packing to reduce intrahepatic pressure and subcapsular hemorrhage control as well as angioembolization to control intraparenchymal hemorrhage. Case presentation: A 12-year-old boy was referred to our emergency department 5 h after sustaining severe bruising in the upper abdomen in a traffic accident. Computed tomography (CT) showed an intraparenchymal hematoma in the right lobe of the liver; nonoperative management was selected based on stable hemodynamic status. Two days after the injury, he complained of severe abdominal pain and shock. CT showed an intraparenchymal and large subcapsular hematoma with right branch compression of the portal vein and extravasation of contrast material. Laboratory data showed progression of hepatocellular damage. We successfully managed this patient with a planned combination strategy of surgical decompression with perihepatic packing for reduction of intrahepatic pressure and subcapsular hemorrhage control, followed by angioembolization for control of intraparenchymal hemorrhage. Conclusion: Our study suggests that for the management of HCS, a planned combination strategy of damage control surgery and angioembolization is a therapeutic option.

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