dc.contributor.author | Kircelli, Atilla | |
dc.contributor.author | Musluman, Ahmet Murat | |
dc.contributor.author | Ozsoner, Baris | |
dc.contributor.author | Can, Songul Meltem | |
dc.contributor.author | Yilmaz, Adem | |
dc.contributor.author | Kaldirimoglu, Ayca | |
dc.contributor.author | Sahin, Balkan | |
dc.date.accessioned | 2019-05-05T20:32:13Z | |
dc.date.available | 2019-05-05T20:32:13Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 1019-5149 | |
dc.identifier.uri | http://turkishneurosurgery.org.tr/pdf/pdf_JTN_2073.pdf | |
dc.identifier.uri | http://hdl.handle.net/11727/3161 | |
dc.description.abstract | AIM: 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.iso | eng | en_US |
dc.relation.isversionof | 10.5137/1019-5149.JTN.21513-17.3 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Arachnoid cyst | en_US |
dc.subject | Chronic subdural hematoma | en_US |
dc.subject | Surgery | en_US |
dc.title | Chronic Subdural Hematoma Associated with Arachnoid Cyst of the Middle Fossa: Surgical Treatment and Mid-Term Results in Fifteen Patients | en_US |
dc.type | article | en_US |
dc.relation.journal | TURKISH NEUROSURGERY | en_US |
dc.identifier.volume | 28 | en_US |
dc.identifier.issue | 5 | en_US |
dc.identifier.startpage | 776 | en_US |
dc.identifier.endpage | 782 | en_US |
dc.identifier.wos | 000443444000013 | en_US |
dc.identifier.scopus | 2-s2.0-85052938842 | en_US |
dc.contributor.pubmedID | 29131236 | en_US |
dc.contributor.orcID | 0000-0003-2109-1274 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | en_US |