Infection of arachnoid cyst associated with vasospasm and stroke in a pediatric patient: case report

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  • Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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Arachnoid cysts are relatively common and benign intraarachnoid membrane outpouchings containing CSF-like fluid. The majority of arachnoid cysts remain stable and asymptomatic and do not require intervention in the pediatric population. Here, the authors present the first reported case of an infected arachnoid cyst in a pediatric patient resulting in severe vasospasm of the left terminal internal carotid artery, left A1 segment, and left M1 branches with a left middle cerebral artery infarct. Their experience suggests that close monitoring is warranted for this condition and that the pediatric population may be at higher risk for vasospasm.

ABBREVIATIONS IAC = intracranial arachnoid cyst; ICA = internal carotid artery; MCA = middle cerebral artery; MRC = Medical Research Council.

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Contributor Notes

Correspondence Kamil W. Nowicki: University of Pittsburgh School of Medicine, Pittsburgh, PA. nowickik@upmc.edu.

INCLUDE WHEN CITING Published online August 28, 2020; DOI: 10.3171/2020.5.PEDS20419.

Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

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