Communicating Hydrocephalus Accompanied by Arachnoid Cyst in Aneurismal Subarachnoid Hemorrhage.
10.7461/jcen.2013.15.4.311
- Author:
Jae Young CHOI
1
;
Seung Heon CHA
;
Won Ho CHO
;
Jun Kyeung KO
Author Information
1. Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea. redcheek09@naver.com
- Publication Type:Case Report
- Keywords:
Arachnoid cyst;
Cerebral aneurysm;
Hydrocephalus;
Shunt;
Subarachnoid hemorrhage
- MeSH:
Aged;
Aneurysm;
Angiography, Digital Subtraction;
Arachnoid*;
Arteries;
Female;
Head;
Headache;
Humans;
Hydrocephalus*;
Intracranial Aneurysm;
Neck;
Subarachnoid Hemorrhage*;
Ventriculoperitoneal Shunt
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2013;15(4):311-315
- CountryRepublic of Korea
- Language:English
-
Abstract:
The authors describe a case of communicating hydrocephalus accompanied by an arachnoid cyst in an aneurismal subarachnoid hemorrhage. A 69-year-old female was referred to our clinic due to the sudden onset of a headache. A head computed tomography scan demonstrated an arachnoid cyst in the right middle fossa with a mass effect and diffuse subarachnoid hemorrhage. Digital subtraction angiography then revealed a left internal carotid-posterior communicating artery aneurysm. The neck of the aneurysm was clipped successfully and the post-operative period was uneventful. However, two months after discharge, the patient reported that her mental status had declined over previous weeks. A cranial computed tomography scan revealed an interval increase in the size of the ventricle and arachnoid cyst causing a midline shift. Simultaneous navigation guided ventriculoperitoneal shunt and cystoperitoneal shunt placement resulted in remarkable radiological and clinical improvements.
