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
Hauptverfasser: Almubarak, Abdulaziz O, Al-Rabie, Abdulkarim S, Alsolami, Rawan M, Homoud, Mohammaed M
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container_end_page 342
container_issue 4
container_start_page 338
container_title Neurosciences
container_volume 23
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.
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source PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Care and treatment
Case Report
Diseases
Head injuries
Prevention
Relapse
title Prevention of recurrence post leptomeningeal cyst repair
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