Ebs dec2015 arachnoid cyst

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?

background

Google

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