Prevention of recurrence post leptomeningeal cyst repair
Leptomeningeal cysts, which are cystic collections filled with cerebrospinal fluid, are rare complications following pediatric head trauma and surgical correction of craniosynostosis. These cysts develop due to cerebrospinal fluid pulsations and brain growth that cause expansion of the dural tears....
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Veröffentlicht in: | Neurosciences 2018-10, Vol.23 (4), p.338-342 |
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creator | Almubarak, Abdulaziz O Al-Rabie, Abdulkarim S Alsolami, Rawan M Homoud, Mohammaed M |
description | Leptomeningeal cysts, which are cystic collections filled with cerebrospinal fluid, are rare complications following pediatric head trauma and surgical correction of craniosynostosis. These cysts develop due to cerebrospinal fluid pulsations and brain growth that cause expansion of the dural tears. Although primary repair of the dural defect is the definitive treatment, the risk of cyst recurrence remains. Factors that increase this risk include syndromic craniosynostosis, hydrocephalus, increased intracranial pressure, and inadequate duraplasty/cranioplasty. Here, we report the successful treatment of a child with a complex leptomeningeal cyst on one hemisphere, Crouzon syndrome, and hydrocephalus who showed no cyst recurrence over 2 years of follow-up. We have also reviewed the literature for predictors of post-repair cyst recurrence and preventive surgical techniques in patients with high risk of recurrence. |
doi_str_mv | 10.17712/nsj.2018.4.20180242 |
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These cysts develop due to cerebrospinal fluid pulsations and brain growth that cause expansion of the dural tears. Although primary repair of the dural defect is the definitive treatment, the risk of cyst recurrence remains. Factors that increase this risk include syndromic craniosynostosis, hydrocephalus, increased intracranial pressure, and inadequate duraplasty/cranioplasty. Here, we report the successful treatment of a child with a complex leptomeningeal cyst on one hemisphere, Crouzon syndrome, and hydrocephalus who showed no cyst recurrence over 2 years of follow-up. 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We have also reviewed the literature for predictors of post-repair cyst recurrence and preventive surgical techniques in patients with high risk of recurrence.</description><subject>Care and treatment</subject><subject>Case Report</subject><subject>Diseases</subject><subject>Head injuries</subject><subject>Prevention</subject><subject>Relapse</subject><issn>1319-6138</issn><issn>1658-3183</issn><issn>1658-3183</issn><issn>1319-6138</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNptUU1LxDAQDaKorPsPRApevHTNV5vmIiziFyzoQc8hTadrpE1q0hX235t1V1Fwcphh8t5jHg-hU4JnRAhCL118m1FMqhn_aphyuoeOSVlUOSMV208zIzIvCauO0DTGN5yqSEX4ITpimBWESnaMqqcAH-BG613m2yyAWYUAzkA2-DhmHQyj78FZtwTdZWaddgEGbcMJOmh1F2G66xP0cnvzfH2fLx7vHq7ni9xwysdc10A4r5rSMIo51BqapgIhBDMFo3UjS0qpbInRQmBoGyGNkKSG5BELyQs2QVdb3WFV99CYdGvQnRqC7XVYK6-t-vvj7Kta-g9VYZLsyiRwsRMI_n0FcVS9jQa6Tjvwq6goEZJSjhlN0PMtdKk7UNa1PimaDVzNy5IWpSjKDWr2Dyq9BnprvIPWpv0fAt8STPAxBmh_ridYfcWpUpxqk6Pi6jvORDv77fyH9B0e-wTBwpsq</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Almubarak, Abdulaziz O</creator><creator>Al-Rabie, Abdulkarim S</creator><creator>Alsolami, Rawan M</creator><creator>Homoud, Mohammaed M</creator><general>Saudi Medical Journal</general><general>Riyadh : Armed Forces Hospital</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181001</creationdate><title>Prevention of recurrence post leptomeningeal cyst repair</title><author>Almubarak, Abdulaziz O ; Al-Rabie, Abdulkarim S ; Alsolami, Rawan M ; Homoud, Mohammaed M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-abe1448d6c3204ebaedd8e7773c532bd962229f1ca770efd79c791be712079453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Care and treatment</topic><topic>Case Report</topic><topic>Diseases</topic><topic>Head injuries</topic><topic>Prevention</topic><topic>Relapse</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Almubarak, Abdulaziz O</creatorcontrib><creatorcontrib>Al-Rabie, Abdulkarim S</creatorcontrib><creatorcontrib>Alsolami, Rawan M</creatorcontrib><creatorcontrib>Homoud, Mohammaed M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Neurosciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Almubarak, Abdulaziz O</au><au>Al-Rabie, Abdulkarim S</au><au>Alsolami, Rawan M</au><au>Homoud, Mohammaed M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention of recurrence post leptomeningeal cyst repair</atitle><jtitle>Neurosciences</jtitle><addtitle>Neurosciences (Riyadh)</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>23</volume><issue>4</issue><spage>338</spage><epage>342</epage><pages>338-342</pages><issn>1319-6138</issn><issn>1658-3183</issn><eissn>1658-3183</eissn><eissn>1319-6138</eissn><abstract>Leptomeningeal cysts, which are cystic collections filled with cerebrospinal fluid, are rare complications following pediatric head trauma and surgical correction of craniosynostosis. These cysts develop due to cerebrospinal fluid pulsations and brain growth that cause expansion of the dural tears. Although primary repair of the dural defect is the definitive treatment, the risk of cyst recurrence remains. Factors that increase this risk include syndromic craniosynostosis, hydrocephalus, increased intracranial pressure, and inadequate duraplasty/cranioplasty. Here, we report the successful treatment of a child with a complex leptomeningeal cyst on one hemisphere, Crouzon syndrome, and hydrocephalus who showed no cyst recurrence over 2 years of follow-up. We have also reviewed the literature for predictors of post-repair cyst recurrence and preventive surgical techniques in patients with high risk of recurrence.</abstract><cop>Saudi Arabia</cop><pub>Saudi Medical Journal</pub><pmid>30351293</pmid><doi>10.17712/nsj.2018.4.20180242</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Case Report Diseases Head injuries Prevention Relapse |
title | Prevention of recurrence post leptomeningeal cyst repair |
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