Ulus Travma Acil Cerrahi Derg. 1999; 5(1): 35-39

POSTTRAUMATIC LEPTOMENINGAL CYSTS

Murat Döþoðlu¹, Metin Orakdöðen¹, M Akif Göðüsgeren¹, M Ali Demirbaþ¹, Selhan Karadereler¹
Abant Ýzzet Baysal Üniversitesi, Düzce Týp Fakültesi, Nöroþirurji Ad, Bolu

Posttraumatic leptomeningeal cysts are rare complications of diastatic skull fracture, occurring almost in childhood and parietal region. Disruption of the underlying dura is necessary in pathogenesis. The normal growth of the brain, cerebral pulsations and cystic lesion cause to enlargement of the fracture edges. Surgical repair is the treatment of choice. In the last 4 years, we have managed 7 cases of growing skull fracture. All patients had a history of falling from a height. The time interval between the trauma and presentation was variable between 20 days to 20 years. The most common clinical feature was local swelling in children, while seizure and atypical headache in adults. Dural repair and cranioplasty was performed in all patients.

Keywords: CRANIOPLASTY, GROWING SKULL FRACTURE, HEAD INJURY, LEPTOMENINGEAL CYST, SURGICAL TREATMENT

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POSTTRAVMATÝK LEPTOMENÝNGAL KÝSTLER

Murat Döþoðlu¹, Metin Orakdöðen¹, M Akif Göðüsgeren¹, M Ali Demirbaþ¹, Selhan Karadereler¹
Abant Ýzzet Baysal Üniversitesi, Düzce Týp Fakültesi, Nöroþirurji Ad, Bolu

Posttravmatik leptomeningeal kistler (PTLMK), kafatasýnýn diastatik kýrýklarýnýn nadir bir komplikasyonudur. Genellikle çocuklarda ve parietal bölgede görülür. Oluþmasý için kýrýk altýndaki duranýn da yýrtýlmasý zorunludur. Beyin pulsasyonu ve oluþmuþ leptomeningeal kist zamanla kýrýk hattýnda açýlmaya yol açar. Klinik bulgular çocukluk ve eriþkin yaþ grubunda birbirinden farklýdýr. Tedavi cerrahi düzeltmedir. Çalýþmada son 4 yýl içinde tedavi edilen PTLMK'li 7 olgu sunulmaktadýr. Olgularýn 5'i çocukluk, 2'si eriþkin yaþ grubundadýr. Tüm olgularda öyküde yüksekten düþme saptanmýþ ve PTLMK tümünde 20 gün-20 yýl arasýnda geliþmiþtir. Çocuk olgular kafada þekil bozukluðu, eriþkinler ise nöbet ve baþ aðrýsý yakýnmalarý ile baþvurmuþlardýr. Olgular cerrahi olarak tedavi edilmiþtir.

Anahtar Kelimeler: CERRAHÝ TEDAVÝ, KAFATASININ BÜYÜYEN KIRIÐI, KAFA TRAVMASI, KRANÝYOPLASTÝ, LEPTOMENÝNGEAL KÝST

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