Abstract
Araknoid kistler, en yaygın intrakranial kistler olup intrakranial yer kaplayan
lezyonların yaklaşık %1’ini oluşturur.
5 yaşında erkek hasta, 1 haftadır olan
sağ gözde kaşıntı ve sağ göz etrafında şişlik yakınmalarıyla getirildi. Hastanın
öyküsünden 2 ay önce düşerek sağ orbita lateralini taşa çarptığı, sonrasında
aynı bölgede 1 hafta süren şişlik olup geçtiği öğrenildi. Fizik muayenesinde
sağ göz kapağı ve gözün alt kısmında sirküler şekilde ödem tespit edildi. Göz
hareketleri her yöne serbestti. Laboratuvar testlerinde, lökosit sayısı
9,817, hemoglobin 13.02 gr/dL, C-reaktif
protein 0.328 mg/dL idi. Hastaya preseptal selülit tanısıyla intravenöz
ampisilin sulbaktam (150 mg/kg/gün)
tedavisi başlandı. Hastanın olası orbital malignite açısından orbital
tomografisi çekildi. Sağ periorbital alanda cilt-cilt altı dokuda kalınlık
artışı ve sağ temporal lobda araknoid kist ile uyumlu görünüm saptanması
üzerine hastaya kontrastlı beyin manyetik rezonans görüntülemesi çekildi. Sağ
temporal lob anterior kesimde yaklaşık 5x5 cm ebatlı, beyin omurilik sıvısı ile
izointens görünüm (araknoid kist) saptandı. Beyin cerrahisi bölümünce acil
cerrahi müdahaleye gerek görülmedi ve 6 ay aralıklarla Beyin Cerrahisi bölümüne
kontrole gelmek üzere taburcu edildi.
Araknoid kistler çocukluk çağında en sık tanı alan gelişimsel santral
sinir sistemi anomalileridir. Asemptomatik olgular 6 ay-1
yıl aralıklarla klinik ve radyolojik olarak takip edilir.
Keywords
References
- Jayaprakash A. Gosalakkal, MD (2002) "Intracranial Arachnoid Cysts in Children: A Review of Pathogenesis, Clinical Features and Management" Pediatric Neurology Vol. 26 No. 2
- Cincu R, Agrawal A, Eiras J. (2007) "Intracranial arachnoid cysts: Current concepts and treatment alternatives" Clin Neurol Neurosurg 109:837–43
- Dipanker Singh Mankotia, Hardik Sardana, Sumit Sinha, Bhawani ShankarSharma, Ashish Suri, Sachin Anil Borkar,Guru Dutta Satyarthee, and P. Sarat Chandra (2016) "Pediatric interhemispheric arachnoid cyst: An institutional experience" J Pediatr Neurosci. 11(1): 29–34.
- Chang Jin Shin, M.D., Myeongho Rho, M.D., Yu Sam Won, M.D., and Si On Kim, M.D. (2016) "Rapid Visual Deterioration Caused by Posterior Fossa Arachnoid Cyst" J Korean Neurosurg Soc. 59(3): 314–318.
- Zekaj E, Saleh C, Servello D. (2016) "Intramedullary cyst formation after removal of multiple intradural spinal arachnoid cysts: A case report" Surg Neurol Int. 7;7(Suppl 17):S473-4.
- Lee YJ, Barker R (2016) "An unusual cause of back pain in a child: spinal subdural haematoma secondary to intracranial arachnoid cyst haemorrhage" Quant Imaging Med Surg. 6(4):478-481
- Mahjouba Boutarbouch , Abdessamad El Ouahabi, Loubna Rifi, Yasser Arkha, Sa¨ıd Derraz, Abdeslam El Khamlichi (2008) "Management of intracranial arachnoid cysts: Institutional experience with initial 32 cases and review of the literature" Clinical Neurology and Neurosurgery 110 (1–7)
- Güdük M, HamitAytar M, Sav A, Berkman Z (2016) "Intrasellar arachnoid cyst: A case report and review of the literature" Int J Surg Case Rep. 23:105-8.
- Huang JH, Mei WZ, Chen Y, Chen JW, Lin ZX (2015) "Analysis on clinical characteristics of intracranial Arachnoid Cysts in 488 pediatric cases" Int J Clin Exp Med. 15;8(10).
- Zhen Tan, MD, PhD, Yongxin Li, PhD, Fengjun Zhu, MD, Dongdong Zang, MD, Cailei Zhao, MD, Cong Li, MD, Dan Tong, MD, Heye Zhang, PhD, and Qian Chen, MD (2015) "Children With Intracranial Arachnoid Cysts Classification and Treatment Medicine (Baltimore)" 94(44)
- Tim Couvreur UGent, Giorgio Hallaert UGent, Tatjana Van Der Heggen UGent, Edward Baert UGent , Frank Dewaele UGent, Jean-Pierre Kalala Okito UGent, Dimitri Vanhauwaert, Marc Deruytter, Dirk Van Roost UGent and Jacques Caemaert UGent(2015) "Endoscopic Treatment of Temporal Arachnoid Cysts in 34 Patients" Worl Neurosurgery. 84(3). p.734-740
- Muralidharan R Upendran and Eibhlin McLoone (2013) "Case Report Delayed resolution of eyelid swelling in preseptal cellulitis in a child: beware of causing occlusion amblyopia" BMJ Case Rep. bcr2013008676.
- Gonzalez MO, Durairaj VD. (2010) "Understanding pediatric bacterial preseptal and orbital cellulitis" Middle East Afr J Ophthalmol.17(2):134-7.
Abstract
References
- Jayaprakash A. Gosalakkal, MD (2002) "Intracranial Arachnoid Cysts in Children: A Review of Pathogenesis, Clinical Features and Management" Pediatric Neurology Vol. 26 No. 2
- Cincu R, Agrawal A, Eiras J. (2007) "Intracranial arachnoid cysts: Current concepts and treatment alternatives" Clin Neurol Neurosurg 109:837–43
- Dipanker Singh Mankotia, Hardik Sardana, Sumit Sinha, Bhawani ShankarSharma, Ashish Suri, Sachin Anil Borkar,Guru Dutta Satyarthee, and P. Sarat Chandra (2016) "Pediatric interhemispheric arachnoid cyst: An institutional experience" J Pediatr Neurosci. 11(1): 29–34.
- Chang Jin Shin, M.D., Myeongho Rho, M.D., Yu Sam Won, M.D., and Si On Kim, M.D. (2016) "Rapid Visual Deterioration Caused by Posterior Fossa Arachnoid Cyst" J Korean Neurosurg Soc. 59(3): 314–318.
- Zekaj E, Saleh C, Servello D. (2016) "Intramedullary cyst formation after removal of multiple intradural spinal arachnoid cysts: A case report" Surg Neurol Int. 7;7(Suppl 17):S473-4.
- Lee YJ, Barker R (2016) "An unusual cause of back pain in a child: spinal subdural haematoma secondary to intracranial arachnoid cyst haemorrhage" Quant Imaging Med Surg. 6(4):478-481
- Mahjouba Boutarbouch , Abdessamad El Ouahabi, Loubna Rifi, Yasser Arkha, Sa¨ıd Derraz, Abdeslam El Khamlichi (2008) "Management of intracranial arachnoid cysts: Institutional experience with initial 32 cases and review of the literature" Clinical Neurology and Neurosurgery 110 (1–7)
- Güdük M, HamitAytar M, Sav A, Berkman Z (2016) "Intrasellar arachnoid cyst: A case report and review of the literature" Int J Surg Case Rep. 23:105-8.
- Huang JH, Mei WZ, Chen Y, Chen JW, Lin ZX (2015) "Analysis on clinical characteristics of intracranial Arachnoid Cysts in 488 pediatric cases" Int J Clin Exp Med. 15;8(10).
- Zhen Tan, MD, PhD, Yongxin Li, PhD, Fengjun Zhu, MD, Dongdong Zang, MD, Cailei Zhao, MD, Cong Li, MD, Dan Tong, MD, Heye Zhang, PhD, and Qian Chen, MD (2015) "Children With Intracranial Arachnoid Cysts Classification and Treatment Medicine (Baltimore)" 94(44)
- Tim Couvreur UGent, Giorgio Hallaert UGent, Tatjana Van Der Heggen UGent, Edward Baert UGent , Frank Dewaele UGent, Jean-Pierre Kalala Okito UGent, Dimitri Vanhauwaert, Marc Deruytter, Dirk Van Roost UGent and Jacques Caemaert UGent(2015) "Endoscopic Treatment of Temporal Arachnoid Cysts in 34 Patients" Worl Neurosurgery. 84(3). p.734-740
- Muralidharan R Upendran and Eibhlin McLoone (2013) "Case Report Delayed resolution of eyelid swelling in preseptal cellulitis in a child: beware of causing occlusion amblyopia" BMJ Case Rep. bcr2013008676.
- Gonzalez MO, Durairaj VD. (2010) "Understanding pediatric bacterial preseptal and orbital cellulitis" Middle East Afr J Ophthalmol.17(2):134-7.
Details
| Journal Section | Articles |
|---|---|
| Authors | |
| Publication Date | June 30, 2017 |
| Published in Issue | Year 2017 Volume: 6 Issue: 2 |
