{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T20:42:16Z","timestamp":1770237736036,"version":"3.49.0"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:p>Arachnoid cyst is a common congenital anomaly in the pediatric population. The cysts are often asymptomatic, but they can cause headache and other symptoms. Occasionally a cyst may rupture after head trauma producing a subdural hematoma. The authors present the case of an 11-year-old boy who presented after a week of progressive and severe back pain radiating to the back of his thighs. Imaging revealed a spinal subdural blood collection at the L4\u2013S1 level. This finding prompted further cephalad imaging of the spine and the brain, which revealed a sylvian fissure arachnoid cyst with intracystic hemorrhage and frontoparietal subdural hematoma. The child did not have headache at this time, although he had experienced chronic headaches since the age of 4 years. He was treated with a course of oral steroids, which immediately relieved his back and leg pain. Subsequent imaging showed resolution of the cranial and spinal subdural blood collections and diminished size of the arachnoid cyst. No surgical treatment was necessary.<\/jats:p>","DOI":"10.3171\/2013.6.peds13122","type":"journal-article","created":{"date-parts":[[2013,7,5]],"date-time":"2013-07-05T13:58:15Z","timestamp":1373032695000},"page":"281-283","source":"Crossref","is-referenced-by-count":10,"title":["Ruptured temporal lobe arachnoid cyst presenting with severe back pain"],"prefix":"10.3171","volume":"12","author":[{"given":"Subash","family":"Lohani","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard L.","family":"Robertson","sequence":"additional","affiliation":[{"name":"Radiology, Boston Children's Hospital, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark R.","family":"Proctor","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds13122","series-title":"J Pediatr Neurosci","doi-asserted-by":"publisher","first-page":"106","DOI":"10.4103\/1817-1745.102568","article-title":"Rapid brain shift, remote site hemorrhage, and a spinal hematoma after craniotomy for a large arachnoid cyst","volume":"7","author":"Bahl","year":"2012"},{"key":"b2-peds13122","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1007\/s00381-008-0728-z","article-title":"Arachnoid cyst associated with subdural hematoma: report of three cases and review of the literature","volume":"25","author":"Bilginer","year":"2009"},{"key":"b3-peds13122","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1007\/s00381-009-1041-1","article-title":"Sylvian fissure arachnoid cysts: we do operate on them but should it be done?","volume":"26","author":"Di Rocco","year":"2010"},{"key":"b4-peds13122","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1250","DOI":"10.3171\/2008.4.17509","article-title":"Relationship between supratentorial arachnoid cyst and chronic subdural hematoma: neuroradiological evidence and surgical treatment. 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