경막하 수종으로 오인된 중두개와 지주막 낭종을 동반한 대뇌궁륭부 지주막 낭종 - 증 례 보 고 -

A Cerebral Convexity Arachnoid Cyst Associated with a Separate Middle Fossa Arachnoid Cyst-Misdiagnosed as Subdural Hygroma as a Consequence of Rupture of an Arachnoid Cyst - Case Report -

Arachnoid cysts are defined as duplicated arachnoids and their splitting with congenital, intra-arachnoid, and leptomeningeal malformations. They are most commonly located in the middle cranial fossa followed by suprasellar and quadrigeminal cisterns, posterior fossa, and very rare in cerebral convexities. They are often ruptured by trauma or spontaneously and cause subdural hygroma or subdural hematoma. Authors report a case of a 32-year-old woman with a convexity arachnoid cyst mimicking subdural hygroma associated with a separate middle fossa arachnoid cyst. Preoperatively, the convexity arachnoid cyst was misinterpreted as subdural hygroma resulted from a ruptured middle fossa cyst. The patient underwent craniotomy and cyst fenestration into the basal cistern. Two separate arachnoid cysts were found in the cerebral convexity and middle cranial fossa during the operation. Finally, cysts were resolved and she was discharged without any complication.