Transcript
Arachnoid cyst & contact sports
Macquarie Neurosurgery
Evidence Based Surgery presentationDate: 10th Dec 2015
Keryn Davidson
Clinical case
17yr boy
Investigated for nausea, vomiting and headache 2months earlierSymptoms resolved within 48hr- Incidental finding arachnoid cyst
Apprentice cabinet makerPlays football
Searchable question (PICO format)
P - Patients with asymptomatic arachnoid cystsI - contact sportC - nilO - haemorrhage
In patients with supratentorial arachnoid cyst, is there a higher risk of haemorrhage with contact sports?
Is there evidence to advise to avoid contact sports?
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Search results - Embase
Search results - Medline
Search results - Scopus
PRISMAInclud
ed
Medline33
Screen
ing
Eligibility
Embase67
Records after duplicates removed - 13
Records screened, Medline - 6 ,Embase - 3 Scopus - 6 ,
Total= 15Records excluded
- title
Full-text articles assessed for eligibility
Full-text articles excluded, with reasonsnot available - 3
Not appropriate- 2Duplicate paper different authors - 1
Studies included
7
Scopus9
Summary of papers
Conclusions
• Arachnoid cysts are not rare, evidence of heamorrage limited to case reports.
• Nil significant evidence in natural hx studies or case reports to advise against contact sports.
• People with arachnoid cysts should not partake in head shaking competitions
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