Intracranial aneurysm and arachnoid cyst

just a coincidence? A case report

Authors

  • Guilherme Brasileiro de Aguiar Faculdade de Ciências Médicas da Santa Casa de São Paulo https://orcid.org/0000-0003-3206-2081
  • Rafael Gomes dos Santos Faculdade de Medicina da Santa Casa de São Paulo https://orcid.org/0000-0002-8085-1045
  • Aline Lariessy Campos Paiva Faculdade de Ciências Médicas da Santa Casa de São Paulo
  • João Miguel de Almeida Silva Faculdade de Medicina da Universidade de São Paulo
  • Rafael Carlos da Silva Faculdade de Ciências Médicas da Santa Casa de São Paulo
  • José Carlos Esteves Veiga Faculdade de Ciências Médicas da Santa Casa de São Paulo

Keywords:

Arachnoid cysts, Intracranial aneurysm, Collagen diseases, Intracranial hemorrhages

Abstract

CONTEXT: Presence of an arachnoid cyst and a non-ruptured intracystic brain aneurysm is extremely rare. The aim of this paper was to describe a case of a patient with an arachnoid cyst and a non-ruptured aneurysm inside it. Clinical, surgical and radiological data were analyzed and the literature was reviewed. CASE REPORT: A patient complained of chronic headache. She was diagnosed as having a temporal arachnoid cyst and a non-ruptured middle cerebral artery aneurysm inside it. Surgery was performed to clip the aneurysm and fenestrate the cyst. CONCLUSIONS: This report raises awareness about the importance of intracranial vascular investigation in patients with arachnoid cysts and brain hemorrhage.

Downloads

Download data is not yet available.

Author Biographies

Guilherme Brasileiro de Aguiar, Faculdade de Ciências Médicas da Santa Casa de São Paulo

MD, MSc. Attending Neurosurgeon, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FMSCSP), São Paulo (SP), Brazil.

Rafael Gomes dos Santos, Faculdade de Medicina da Santa Casa de São Paulo

Medical Student, Faculdade de Medicina da Santa Casa de São Paulo (FMSCSP), São Paulo (SP), Brazil.

Aline Lariessy Campos Paiva, Faculdade de Ciências Médicas da Santa Casa de São Paulo

MD. Neurosurgery Resident, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FMSCSP), São Paulo (SP), Brazil

João Miguel de Almeida Silva, Faculdade de Medicina da Universidade de São Paulo

MD. Neurosurgeon, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FMSCSP), and Endovascular Neurosurgery Fellow, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo (SP), Brazil

Rafael Carlos da Silva, Faculdade de Ciências Médicas da Santa Casa de São Paulo

MD. Neurosurgeon, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FMSCSP), São Paulo (SP), Brazil.

José Carlos Esteves Veiga, Faculdade de Ciências Médicas da Santa Casa de São Paulo

MD, PhD. Full Professor and Head of Discipline of Neurosurgery, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FMSCSP), São Paulo (SP), Brazil.

References

Kajiwara I, Tanaka T, Kan I, et al. Intracystic hematoma of middle fossa arachnoid cyst caused by rupture of internal carotid-posterior communicating artery aneurysm. Neurol Med Chir (Tokyo). 2008;48(5):220-2.

Secer HI, Duz B, Solmaz I, Gonul E. Endoscopic clipping of a middle cerebral artery aneurysm in a middle fossa arachnoid cyst and review of the literature. Minim Invasive Neurosurg. 2010;53(3):132-7.

Romão EA, Moysés Neto M, Teixeira SR, et al. Renal and extrarenal manifestations of autosomal dominant polycystic kidney disease. Braz J Med Biol Res. 2006;39(4):533-8.

Zanini MA, Faleiros AT, Rondinelli G, Gabarra RC, Resende LA. A form of dysplasia or a fortuitous association? A cerebral aneurysm inside an arachnoid cyst: case report. Neurosurgery. 2007;61(3):E654-5; discussion E655.

de Oliveira JG, Giudicissi-Filho M, Rassi-Neto A, et al. Intracranial aneurysm and arachnoid cyst: a rare association between two cerebral malformations. Br J Neurosurg. 2007;21(4):406-10.

Downloads

Published

2019-02-07

How to Cite

1.
Aguiar GB de, Santos RG dos, Paiva ALC, Silva JM de A, Silva RC da, Veiga JCE. Intracranial aneurysm and arachnoid cyst: just a coincidence? A case report. Sao Paulo Med J [Internet]. 2019 Feb. 7 [cited 2025 Mar. 14];137(1):92-5. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/629

Issue

Section

Case Report