Severe Kyphoscoliosis Associated with Multiple Giant Intraspinal Epidural Cysts: A Case Report and Literature Review

Luo, Rongjin; Song, Yu; Liao, Zhiwei; Yin, Huipeng; Zhan, Shengfeng; Yang, Cao

doi:10.1016/j.wneu.2019.01.178

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…В качестве лечения ЭДАК позвоночника описаны различные хирургические методы -установка кистоперитонеального дренажа [2], дренирование кисты и удаление ее стенки, пластика ликворного свища [3]. Несмотря на то что единого мнения относительно наилучшей тактики нет, большинство исследователей согласны с тем, что дефект должен быть устранен, однако вопрос о необходимости полного удаления кисты остается открытым.…”

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Surgical treatment of epidural arachnoid cyst type II of the thoracic and lumbar spine: case report

Коваленко

Ryumina

Cherebillo

et al. 2022

Nejrohirurgiâ (Mosk.)

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Background. Spinal epidural arachnoid cysts are the protrusion of the arachnoid membrane through an existing defect in the dural, functioning as a valve. Literature data on diagnosis and surgical treatment are presented by descriptions of clinical cases and there is no consensus on the optimal approach to solving this problem.Aim. To present a clinical case of surgical treatment of epidural arachnoid cyst type II of the thoracic and lumbar spine; to analyze methods of diagnosis and surgical treatment of such cysts.Materials and methods. All cases of diagnosis and treatment of spinal epidural arachnoid cysts in adults published in the PubMed search engine by 2021 have been analyzed. A clinical case of successful surgical treatment of an epidural arachnoid cyst of the thoracic and lumbar spine of type II on the basis of the Almazov National Medical Research Centre (Saint Petersburg, Russia) is presented.Results. Analysis of the published results of treatment of patients with epidural arachnoid cysts showed that the main task facing the surgeon is to identify and close the communication between the cyst and the subdural space. To accurately determine the localization of the dura mater defect and minimize operative access, many authors consider computed tomography myelography to be effective.Conclusion. Despite the variety of existing diagnostic methods, a specific and accurate way to visualize the defect has not been found to date. Based on the analysis of the literature, it can be said that the rarity of publications on this topic makes even individual reports relevant, and today there is no way to propose a specific strategy for the diagnosis and surgical treatment of such cysts.

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Surgical treatment of epidural arachnoid cyst type II of the thoracic and lumbar spine: case report

Коваленко

Ryumina

Cherebillo

et al. 2022

Nejrohirurgiâ (Mosk.)

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How to locate the fistula orifice of spinal extradural arachnoid cyst: Surgical experience and clinical outcome

Tian

Chen

et al. 2023

BMC Surg

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Background In clinical practice, spinal extradural arachnoid cysts (SEAC) are relatively rare. The key to the treatment of SEAC is recognize and close the dural defects (fistula orifice), but there is currently no convenient method to locate and identify the fistula. We propose a method for predicting the location of lumbar/thoracolumbar SEAC fistula based on surgical experience, subsequently closing the fistula through posterior unilateral interlaminar fenestration. Evaluating its surgical efficacy and investigated its effect on patient prognosis. Methods A stepped approach based on clinical experience is proposed. A retrospective analysis was performed on 6 patients diagnosed with thoracolumbar SEAC disease and treated with posterior unilateral interlaminar fenestration through the position by pre-estimated fistula orifice in our hospital’s Department of Neurosurgery between January 2017 and January 2022. Results All patients who received this treatment experienced significantly lower postoperative VAS pain scores and ODI index compared to their corresponding preoperative values (P < 0.01). During the ongoing follow-up after surgery, no unstable vertebral column, adverse effects, or complications were reported. Conclusions The use of posterior unilateral interlaminar fenestration for the treatment of large SEAC in the adult lumbar/thoracolumbar segment can reduce spinal cord manipulation and enhance spine stability. The disease can be treated by sealing the fistula orifice through a small fenestra, the position of which is assessed before surgery. This surgical method reduces trauma and improves the prognosis of patients with large SEAC.

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Severe Kyphoscoliosis Associated with Multiple Giant Intraspinal Epidural Cysts: A Case Report and Literature Review

Cited by 2 publications

References 25 publications

Surgical treatment of epidural arachnoid cyst type II of the thoracic and lumbar spine: case report

Surgical treatment of epidural arachnoid cyst type II of the thoracic and lumbar spine: case report

How to locate the fistula orifice of spinal extradural arachnoid cyst: Surgical experience and clinical outcome

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