Spontaneous rupture of an arachnoid cyst combined with chronic subdural hematoma: a case report and review of the literature.

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2025-10-01 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1671194

Jinwen Zhang, Bing Han, Zengwu Wang, Fenglei Sun, Naizheng Liu

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Abstract

This case report discusses a 16-year-old male with a previously diagnosed left fronto-temporo-parietal arachnoid cyst (AC) who developed progressively worsening intermittent headaches. Magnetic resonance imaging (MRI) revealed a spontaneous chronic subdural hematoma (CSDH), despite no history of trauma or bleeding disorders. The cyst, discovered incidentally three years prior, had been asymptomatic until this event; hence, no interval cranial computed tomography (CT) or MR imaging was performed. The patient underwent burr-hole irrigation and drainage under general anaesthesia. Postoperative scans confirmed complete resolution of the hematoma and a significant reduction in the cyst size, with no recurrence of the cyst at the six-month follow-up. This case, supported by a systematic review of 28 recent studies (2020-2025), highlights that AC can spontaneously rupture, leading to CSDH. Burr-hole irrigation surgery proves to be a safe and efficient intervention, emphasizing the need for long-term monitoring in AC patients to manage potential hemorrhagic complications promptly.

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蛛网膜囊肿自发性破裂合并慢性硬膜下血肿1例报告及文献复习。

本病例报告讨论了一名16岁男性，先前诊断为左额颞顶叶蛛网膜囊肿（AC），后来发展为逐渐恶化的间歇性头痛。磁共振成像（MRI）显示自发性慢性硬膜下血肿（CSDH），尽管没有外伤或出血性疾病的历史。这个囊肿是三年前偶然发现的，在此之前一直没有症状；因此，没有间隔进行颅脑计算机断层扫描（CT）或磁共振成像。患者在全身麻醉下行钻孔冲洗引流术。术后扫描证实血肿完全消退，囊肿大小明显减小，在6个月的随访中没有囊肿复发。该病例得到了近期28项研究（2020-2025）的系统回顾的支持，强调了AC可自发破裂，导致CSDH。钻孔冲洗手术被证明是一种安全有效的干预措施，强调需要对AC患者进行长期监测，及时处理潜在的出血并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.