Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2021; 9(1): 274-277
Published online Jan 6, 2021. doi: 10.12998/wjcc.v9.i1.274
Intraparenchymal hemorrhage after surgical decompression of an epencephalon arachnoid cyst: A case report
Xue-Jian Wang
Xue-Jian Wang, Department of Neurosurgery, Affiliated Hospital 2 of Nantong University (Nantong First People's Hospital), Nantong 226001, Jiangsu Province, China
Author contributions: Wang XJ designed the study and wrote the manuscript.
Supported by The Science and Technology Program of Nantong Health Committee, No. MA2019003 and No. KEY03.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue-Jian Wang, MD, PhD, Professor, Surgeon, Department of Neurosurgery, Affiliated Hospital 2 of Nantong University, No. 6 North Hai’erxiang Road, Chongchuan District, Nantong 226001, Jiangsu Province, China. 6841441@163.com
Received: October 12, 2020
Peer-review started: October 12, 2020
First decision: October 27, 2020
Revised: November 2, 2020
Accepted: November 13, 2020
Article in press: November 13, 2020
Published online: January 6, 2021
Processing time: 81 Days and 3 Hours
Abstract
BACKGROUND

This study reports the clinical presentation of intraparenchymal hemorrhage as a rare complication after surgical decompression of an intracranial epencephalon arachnoid cyst (IEAC) at the posterior cranial fossa.

CASE SUMMARY

The clinical information of a patient with an IEAC was reported, and the related literature was reviewed. A female patient with nausea presented to our hospital. Computed tomography demonstrated an IEAC located at the posterior cranial fossa, which was large and required surgical intervention. After operation, postoperative intraparenchymal hemorrhage was detected. She had a good recovery with conservative treatment 1 mo later.

CONCLUSION

Though postoperative intraparenchymal hemorrhage is rare after surgical decompression of an IEAC, more attention should be paid to such a complication.

Keywords: Intracranial arachnoid cyst; Surgical decompression; Hemorrhage; Complication; Case report

Core Tip: Although intracranial epencephalon arachnoid cysts (IEACs) are rare, patients may become symptomatic due to cyst enlargement. In these patients, surgical intervention is required. I here report a case of intraparenchymal hemorrhage as a rare complication after the surgical decompression of an IEAC. This case indicated that patient’s condition should be carefully reviewed after operation in case of fatal complications.