Published online Jan 6, 2021. doi: 10.12998/wjcc.v9.i1.274
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
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.
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.
Though postoperative intraparenchymal hemorrhage is rare after surgical decompression of an IEAC, more attention should be paid to such a complication.
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.