Open AccessPrevention of recurrence post leptomeningeal cyst repair
Author(s) -
Abdulaziz Oqalaa Almubarak,
Abdulkarim S Al-Rabie,
Rawan Marzooq Alsolami,
Mohammaed M Homoud
Publication year - 2018
Publication title -
neurosciences
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.235
H-Index - 21
eISSN - 1658-3183
pISSN - 1319-6138
DOI - 10.17712/nsj.2018.4.20180242
Subject(s) - medicine , hydrocephalus , cranioplasty , craniosynostosis , cyst , surgery , cerebrospinal fluid , intracranial pressure , cerebrospinal fluid leak , arachnoid cyst , tears , skull , pathology
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.