“…Of 31 cases including present case reports, twenty seven patients improved well, one patient showed partial improvement, one patient did not show any improvement and two deaths were reported. 15,20 Patients with arachnoiditis and adhesions did not show much improvement. Patients who presented with respiratory depression died in spite of surgery.…”
“…Expansion of the cyst volume could be due to secretion by the cystic wall, unidirectional value and liquid movements secondary to pulsations of the veins. 15 Most of these cases were reported in children in the age group of 1-10 years with the youngest 16 days' old baby, 3 indicates congenital or idiopathic nature of these anteriorly placed lesions. Anteriorly placed lesions are commonly seen in males as compared to the posteriorly located lesions.…”
“…Anteriorly placed lesions are commonly seen in males as compared to the posteriorly located lesions. 15 Spinal arachnoid cysts are usually asymptomatic. The clinical picture depends on the level of the compression on the cord.…”
“…17 Patients can present with respiratory failure if they are located in the upper cervical region. 15 Plain x-ray in some cases demonstrates enlargement of the spinal canal at the cyst level, with co-existent scoliosis and kyphosis in some cases, but plain x-rays usually not helpful to diagnose these cysts. 1,7 Before MRI, the diagnosis was made by myelography and CT Myelography.…”
“…Patients who presented with respiratory depression died in spite of surgery. 15,20 To conclude, anterior intradural arachnoid cysts in the cervical region are very rare lesions and they can be easily diagnosed with MRI, and total excision is the treatment of choice whenever possible with excellent postoperative outcome.…”
BACKGROUND Arachnoid cysts of spinal cord are relatively uncommon lesions. Most of them arise dorsal to the cord, and anteriorly placed intradural arachnoid cyst is a rare cause of cervical cord compression. To the best of our knowledge, only 30 cases were reported in the literature. We present a case of anterior cervical intradural arachnoid cyst with review of literature. METHODS We performed a literature search for anteriorly placed intradural arachnoid cysts in the cervical spinal cord through http://pubmed.com, a well-known worldwide internet medical address. To the best of our knowledge, only 30 cases were reported in the literature. We reviewed the literature with illustration of our case. We present a case of a 40-year-old male patient who presented with insidious onset of radicular pain. MRI cervical spine demonstrated cervical intradural cystic lesion extending from C2 to upper border of C4, lying anteriorly with compression over the cord. Cervical laminectomy followed by wide cyst fenestration and subtotal excision of cyst was done. Histopathological diagnosis was arachnoid cyst. RESULTS Patient totally recovered from his pain and sensory symptoms within a week and motor symptoms improved gradually over a period of six to eight weeks. With two years followup, patient had no further complaints. CONCLUSION Anterior cervical intradural arachnoid cysts are rare. These are amenable to resection through posterior approach safely with good postoperative recovery.
“…Of 31 cases including present case reports, twenty seven patients improved well, one patient showed partial improvement, one patient did not show any improvement and two deaths were reported. 15,20 Patients with arachnoiditis and adhesions did not show much improvement. Patients who presented with respiratory depression died in spite of surgery.…”
“…Expansion of the cyst volume could be due to secretion by the cystic wall, unidirectional value and liquid movements secondary to pulsations of the veins. 15 Most of these cases were reported in children in the age group of 1-10 years with the youngest 16 days' old baby, 3 indicates congenital or idiopathic nature of these anteriorly placed lesions. Anteriorly placed lesions are commonly seen in males as compared to the posteriorly located lesions.…”
“…Anteriorly placed lesions are commonly seen in males as compared to the posteriorly located lesions. 15 Spinal arachnoid cysts are usually asymptomatic. The clinical picture depends on the level of the compression on the cord.…”
“…17 Patients can present with respiratory failure if they are located in the upper cervical region. 15 Plain x-ray in some cases demonstrates enlargement of the spinal canal at the cyst level, with co-existent scoliosis and kyphosis in some cases, but plain x-rays usually not helpful to diagnose these cysts. 1,7 Before MRI, the diagnosis was made by myelography and CT Myelography.…”
“…Patients who presented with respiratory depression died in spite of surgery. 15,20 To conclude, anterior intradural arachnoid cysts in the cervical region are very rare lesions and they can be easily diagnosed with MRI, and total excision is the treatment of choice whenever possible with excellent postoperative outcome.…”
BACKGROUND Arachnoid cysts of spinal cord are relatively uncommon lesions. Most of them arise dorsal to the cord, and anteriorly placed intradural arachnoid cyst is a rare cause of cervical cord compression. To the best of our knowledge, only 30 cases were reported in the literature. We present a case of anterior cervical intradural arachnoid cyst with review of literature. METHODS We performed a literature search for anteriorly placed intradural arachnoid cysts in the cervical spinal cord through http://pubmed.com, a well-known worldwide internet medical address. To the best of our knowledge, only 30 cases were reported in the literature. We reviewed the literature with illustration of our case. We present a case of a 40-year-old male patient who presented with insidious onset of radicular pain. MRI cervical spine demonstrated cervical intradural cystic lesion extending from C2 to upper border of C4, lying anteriorly with compression over the cord. Cervical laminectomy followed by wide cyst fenestration and subtotal excision of cyst was done. Histopathological diagnosis was arachnoid cyst. RESULTS Patient totally recovered from his pain and sensory symptoms within a week and motor symptoms improved gradually over a period of six to eight weeks. With two years followup, patient had no further complaints. CONCLUSION Anterior cervical intradural arachnoid cysts are rare. These are amenable to resection through posterior approach safely with good postoperative recovery.
Anterior cervical intradural arachnoid cyst is a rare entity which has been mostly approached posteriorly, commonly resulting in incomplete resection. Incomplete resection is associated with recurrence; hence, we describe the anterior central corpectomy approach with complete neurologic recovery in a twenty year old with an anterior cervical intradural arachnoid cyst in front of the third and fourth cervical vertebra, who had presented with spastic quadriparesis.
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