Spinal extradural arachnoid cysts: clinical, radiological, and surgical features.
نویسندگان
چکیده
Extradural arachnoid cysts in the spine are rare and are seldom a cause of spinal cord compression. They are thought to arise from congenital defects in the dura mater, and they almost always communicate with the intrathecal subarachnoid space through a small defect in the dura. The mainstay of treatment in patients with neurological symptoms is surgical removal of the cyst together with ligation of the communicating pedicle and closure of the dural defect. In the present paper the authors review the literature and discuss the clinical and pathological features, mechanisms of pathogenesis, neuroimaging characteristics, and surgical management of spinal extradural arachnoid cysts. The surgical technique for removal of these lesions is illustrated in a patient with a large thoracolumbar spinal extradural arachnoid cyst causing neurogenic claudication.
منابع مشابه
Solitary Symptomatic Spinal Extradural Arachnoid Cyst Needing Surgical Treatment: A Series of Three Cases
Extradural arachnoid cysts are rare lesions which may produce symptoms by compressing the spinal cord or nerve roots. Surgery is the treatment of choice in such lesions but asymptomatic patients can be managed conservatively. We present three cases of symptomatic extradural arachnoid cysts managed at our institute. Magnetic resonance imaging (MRI) done in all cases showed an extradural arachnoi...
متن کاملPosterior spinal cord herniation into an extradural thoracic arachnoid cyst: surgical treatment. Case report and review of the literature.
The authors describe the case of a 2-year-old boy who experienced progressive spastic paraparesis for several months. Magnetic resonance imaging revealed an extensive extradural arachnoid cyst at the T3-L1 levels and posterior spinal cord herniation at T3-4. Surgical release of the neck of the hernia and total resection of the arachnoid cyst were performed. The patient had good clinical recover...
متن کاملNon-communicating extradural arachnoid cyst of dorsal spine.
Extradural arachnoid cyst in the spine is an uncommon cause of spinal cord compression in the paediatric population. Most reported cysts have communication with the intrathecal subarachnoid space through a small defect in the dura. The reported child had spinal cord compression caused by a large spinal extradural arachnoid cyst in dorsal spine that did not communicate with the intradural subara...
متن کاملMultiple extradural spinal arachnoid cysts: a case report and review of the literature
Extradural spinal arachnoid cysts are rare lesions, which may become symptomatic due to mass effect. Multiple cysts are even rarer of which few are reported to date. A 17-year-old male with acute onset urinary retention and progressive paraparesis is presented. Magnetic resonance imaging of spine revealed multiple spinal extradural arachnoid cysts located dorsal to the spinal cord, causing mass...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Neurosurgical focus
دوره 22 2 شماره
صفحات -
تاریخ انتشار 2007