Chronic subdural hematoma and arachnoid cyst in an adolescent patient with 10q chromosomal deletion

Abstract

Background. Presence of related symptoms of chronic subdural hematoma (SDH) as a part of a syndrome with some atypical presentations in children may be a confusing manifestation. Here we report an adolescent chronic subdural hematoma and arachnoid cyst in an adolescent case with 10q chromosomal deletion. Case presentation. A 14-year-old boy with chromosomal deletion of 10q leading to tyrosine phosphatase deficiency and arachnoid cyst in left parieto-occipital region beside of Sylvain fissure visited our clinic. He had history of occasional headaches all over the head with exacerbation since one month before admission. Decreased consciousness, imbalance, ataxia, and nausea and vomiting with decreased GCS of 8 were seen in this patient. He had no history of head trauma. The patient underwent surgery for the treatment of chronic subdural hematoma located in the right frontotemporal region and the burr hole trephination was carried out. After operation the patient was discharged from the hospital with GCS of 15. Conclusions. Chronic subdural hematoma accompanying with arachnoid cyst in cases with syndrome manifestations should be considered as a part of inheriting biochemical disorders and further assessment by genetic and biochemical tests should be considered to diagnose possible syndromes and improve the prognosis with required additional treatments.

Keywords

• chronic subdural hematoma
• arachnoid cyst
• pediatric