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Vol. 11. Issue 3.
Pages 224-226 (January 2000)
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Vol. 11. Issue 3.
Pages 224-226 (January 2000)
Quiste leptomeníngeo postraumático de larga evolución
Long evolution traumatic leptomeningeal cyst
M. Gelabert González, A. García Pravos, J.M. Fernández Villa
Servicios de Neurocirugía. Hospital General de Galicia. Universidad de Santiago de Compostela
J.M. Cutrín Prieto*, A. Pérez Muñuzuri*
* Servicios de Pediatría. Hospital General de Galicia. Universidad de Santiago de Compostela
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Resumen

Los quistes leptomeníngeos son una complicación poco frecuente de las fracturas de cráneo infantiles y su patogénesis y alternativas terapéuticas siguen siendo objeto de debate. La mayoría de los casos se producen en los primeros meses o años tras la fractura craneal.

Presentamos el caso clínico de un quiste leptomeníngeo en un niño de 15 años, que 14 años antes había sufrido una fractura craneal y que clínicamente debutó con crisis epilépticas y una masa subgaleal lentamente progresiva ubicada sobre la sutura coronal izquierda.

Finalmente se discuten la patogenia y las alternativas terapéuticas en este tipo de lesiones.

Palabras clave:
Craneoplastia
Fractura de cráneo
Quiste leptomeníngeo
Traumatismo craneal
Asimetría craneal
Summary

Leptomeningeal cyst is a rare complication of skull fracture in children and their pathogenesis and treatment are still debated. Most cases occur months or years after the original skull fracture.

The authors report a case of leptomeningeal cyst in a 15 year-old boy studied 4 years after cranial trauma. Clinically presented with seizures and an enlarging subgaleal mass over the left coronal suture.

The pathogenesis and the treatment options of this lesion are discussed.

Key words:
Leptomeningeal cyst
Head trauma
Skull fracture
Cranioplasty

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