Abstract
Arachnoid cysts are relatively uncommon in infancy and are incidental findings in intracranial imaging in pediatric patients. Presentation at a younger age is usually associated with cyst enlargement. Arachnoid cysts are considered to be congenital in origin but the natural history and prevalence is not well defined. Here we report a case of a 2 months old male infant with non-specific illness who was diagnosed with arachnoid cyst.
Highlights
CASE REPORTIn the Pediatric intensive care unit (PICU) infant’s examination revealed that the infant was a well nourished and sleepy with intermittent shallow respiration, weak cry on stimulation, decreased activity and hypotonia
A 2 months old male infant was brought to Emergency Department (ED) with mother complaining of “not acting as usual” for 5 days
Infant was admitted to Pediatric intensive care unit (PICU) for further treatment and a spinal tap was performed and the infant was started on antibiotics
Summary
In the PICU infant’s examination revealed that the infant was a well nourished and sleepy with intermittent shallow respiration, weak cry on stimulation, decreased activity and hypotonia. While in PICU, the infant became very lethargic while being held in mother’s lap, with shallow respiration, bradycardia, cyanosis and oxygen saturations in the 70 s (SpO2) The infant subsequently developed apnea and was unresponsive and was immediately intubated and placed on a ventilator. At the time of discharge, the results of infant’s physical examination were age appropriate and on subsequent clinic follow up appointments
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