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SSK Okmeydanı Eğitim Hastanesi, Nöroşirürji Kliniği, İstanbul Subdural hygroma secondary to arachnoid cyst after head trauma is encountered rarely. Subdural hygroma develops from a middle fossa arachnoid cyst in young patients following trauma or spontaneously. The treatment is still controversial and different methods are proposed in literature. Surgical intervention is required for symptomatic patients who have compression signs radiologically and it is necessary to plan the surgical management for each patient individually. We present a patient who had a middle fossa arachnoid cyst which developed into a subdural hygroma after head trauma. Anahtar Kelimeler : Arachnoid cyst, subdural hygroma, subdural hematoma