Abstract

Intracranial arachnoid cysts need to be operated on when they are causing symptoms and aesthetic problems. The aim of this case report was to describe a new method of reconstructing the skull by eliminating a left frontal bone deformity by turning the inside out and the outside inward, which provided good aesthetics and protected the region of surgical interest after the removal of an arachnoid cyst of the left frontal lobe.

Highlights

  • Intracranial arachnoid cysts are bulging spaces containing cerebrospinal fluid inside the membranes, which originate by the splinting or duplication of the arachnoid layer.[1]

  • The repair of the skull bone can be challenging, depending on several factors such as anatomy of the region, the kind of defect or deformity, and complex reconstruction.[3]. The aim of this manuscript is to describe a new method of the surgical removal of an arachnoid cyst by the reconstruction of a left frontal bone deformity by turning the bone segment inside out and the outside inward

  • Cysts must be operated on—independent of the age of the patient—if they are causing complications, such as high intracranial pressure, erosion, excavation, protrusions,[5] or aesthetic problems, which were upsetting for the patient

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Summary

INTRODUCTION

Intracranial arachnoid cysts are bulging spaces containing cerebrospinal fluid inside the membranes, which originate by the splinting or duplication of the arachnoid layer.[1]. The repair of the skull bone can be challenging, depending on several factors such as anatomy of the region, the kind of defect or deformity, and complex reconstruction.[3] The aim of this manuscript is to describe a new method of the surgical removal of an arachnoid cyst by the reconstruction of a left frontal bone deformity by turning the bone segment inside out and the outside inward This provided a good aesthetic result and protected the region of surgical interest (ROSI). A 17-year-old female patient attended the neurosurgery department complaining of a palpable mass in the left frontal bone as well as headaches and seizures since the age of 8 years. She was born after a normal labor.

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