Chronic Subdural Hematoma Associated with an Arachnoid Cyst in Elderly, an Intraoperative Finding after Re-Bleeding: Case Report

作     者：Komi Egu Agbéko Komlan Doléagbénou Messan Hobli Ahanogbé Abdel Kader Moumouni Essossinam Kpélao Katanga Anthony Békéti Komi Egu;Agbéko Komlan Doléagbénou;Messan Hobli Ahanogbé;Abdel Kader Moumouni;Essossinam Kpélao;Katanga Anthony Békéti

作者机构：Department of Neurosurgery Sylvanus Olympio Teaching Hospital Lomé Togo Department of Neurosurgery Kara Teaching Hospital Kara Togo 

出 版 物：《Open Journal of Modern Neurosurgery》 (现代神经外科学进展（英文）)

年 卷 期：2024年第14卷第1期

页      面：57-63页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Arachnoid Cyst Chronic Subdural Hematoma Elderly Patient 

摘      要：Intracranial arachnoid cysts (AC) are believed to be congenital and chronic subdural hematomas tend to occur in elderly patients with a history of mild head injury. The association between these two entities sporadically occur in relatively young patients but rare in elderly patients. We report a 65-year-old man who presented with headache and dizziness of 2 months’ duration with a history of head injury. Brain computed tomography (CT) a CSDH in right side and a hygroma in left side. After first operation with burr holes in both sides, the patient underwent an early recurrence of acute subdural hematoma in the right side. The evacuation of this hematoma by a craniotomy allowed seeing an AC that we resected partially with complete recovery of the patient. The association CSDH/AC is rare and possible in elderly patients and there is no consensus on treatment.