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dc.contributor.authorKircelli, Atilla
dc.contributor.authorMusluman, Ahmet Murat
dc.contributor.authorOzsoner, Baris
dc.contributor.authorCan, Songul Meltem
dc.contributor.authorYilmaz, Adem
dc.contributor.authorKaldirimoglu, Ayca
dc.contributor.authorSahin, Balkan
dc.date.accessioned2019-05-05T20:32:13Z
dc.date.available2019-05-05T20:32:13Z
dc.date.issued2018
dc.identifier.issn1019-5149
dc.identifier.urihttp://turkishneurosurgery.org.tr/pdf/pdf_JTN_2073.pdf
dc.identifier.urihttp://hdl.handle.net/11727/3161
dc.description.abstractAIM: To report neurological and radiological features, surgical management, and mid-term outcomes of patients with chronic subdural hematoma (CSDH) associated with ipsilateral arachnoid cyst (AC) of the middle fossa. MATERIAL and METHODS: A total of 453 patients with CSDH were treated at our clinic between August 2004 and August 2012. Of these patients, 15 had ipsilateral AC in the middle fossa. A single burr hole craniostomy was performed to drain the hematoma. The AC was left intact in 14 patients, and one patient had no surgical intervention. The follow-up period ranged from 13 to 88 months (mean 43.07 +/- 23.23 months). RESULTS: The patients with AC associated CSDH were found to be younger than the patients with CSDH alone, and the mean age of 58 patients was 13.15 +/- 13.17 years, while it was 11 +/- 14.22 years in the other patients. Eleven patients had experienced head trauma at 21-50 days before admission. Hematoma evacuation through a single burr hole with closed-system subdural drainage performed at 2-4 days after surgery improved the symptoms in all patients. Two patients developed subdural fluid collection, which was treated by subduroperitoneal shunt placement. CONCLUSION: Greater prevalence of ACs in patients with CSDHs has been reported in the literature. We recommend the drainage of the hematoma via a single craniostomy and to leave the AC intact as the first choice of treatment if the associated AC is a Galassi type I or II. Additional subduroperitoneal shunting may be performed in patients with Galassi type III cyst.en_US
dc.language.isoengen_US
dc.relation.isversionof10.5137/1019-5149.JTN.21513-17.3en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectArachnoid cysten_US
dc.subjectChronic subdural hematomaen_US
dc.subjectSurgeryen_US
dc.titleChronic Subdural Hematoma Associated with Arachnoid Cyst of the Middle Fossa: Surgical Treatment and Mid-Term Results in Fifteen Patientsen_US
dc.typearticleen_US
dc.relation.journalTURKISH NEUROSURGERYen_US
dc.identifier.volume28en_US
dc.identifier.issue5en_US
dc.identifier.startpage776en_US
dc.identifier.endpage782en_US
dc.identifier.wos000443444000013


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