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¹The Abant İzzet Baysal University, Düzce Medical School, Department of Neurosurgery, Düzce, Turkey
²University of Fırat, School of Medicine, Department of Neurosurgery, Elazığ, Turkey A 26-year-old male with a type II sylvian arachnoid cyst of the middle cranial fossa developed spontaneous subdural hemorrhage. The only presenting sign was headache. The hematoma was evacuated and during surgery it was noted that the cyst was communicating with the subarachnoid and subdural spaces. Late postoperative radiological follow-up showed that the arachnoid cyst has not resolved. This report describes the details of the case. Keywords : Arachnoid cyst, middle fossa, spontaneous rupture, subdural hematoma