Spinal extradural arachnoid cyst in a child—a case report

Oyemolade, Toyin Ayofe; Adeolu, Augustine Abiodun; Idowu, Olusola

doi:10.1093/jscr/rjz283

Cited by 5 publications

(9 citation statements)

References 10 publications

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“…The atrophy and decreased extremity weakness can cause abnormal or imbalance body posture, as we found in our patient. 5,7, 8 We found additional clinical findings in our patients were the presence of pathological reflexes such as Hoffman Tromner reflex, Babinski reflex, Chaddock disturbance. 5, 9 In our case report's patient, we cannot evaluate the sensory function because the patient was not cooperative.…”

Section: Discussionsupporting

confidence: 52%

“…The recurrence rate was 37% in the series by Oyemolade TA et al, and the interval between the initial surgery and recurrence was 4-14 years. 8 In contrast, Liu JK et al, reported no recurrence in any of their eight patients during a mean period of 38 months. 7 Nabors et al have reported excellent results initially, with some patients suffering long-term neurological deterioration without evidence of cyst recurrence.…”

Section: Case Reportmentioning

confidence: 87%

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Cervical myelopathy due to an endodermal intraspinal cyst in a two-year-old child: a case report

2021

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Background: Cervical myelopathy is commonly seen in the older population caused by a degenerative process, but in a rare case, it can be seen in the pediatric population due to uncommon causes, such as an intraspinal cyst. This case report aims to discuss a rare case of cervical myelopathy due to an endodermal cyst in a two-year-old child. Case Presentation: A 2-year-old child with limited neck movement and abnormal body posture from 6 months before admission to the hospital. Spine trauma and other histories of disease were denied. There was no deformity, swelling, hematoma, and wound on the vertebra region from physical examinations. The motoric function was found weaker on the upper and lower right extremities, and pathological reflex was found on both sides. MRI examination showed an intradural extra-medullar space-occupying lesion on the C2-C5 level of the spine. At first, the patient was diagnosed with cervical myelopathy due to an intradural extramedullary tumor at level C2-C5. Excision of the cyst, posterior decompression, and laminectomy was done in this patient. The postoperative histopathological result showed an intraspinal cyst with an endodermal type cyst. Conclusion: This case study was first diagnosed due to an intradural extramedullary tumor, which appears to be a benign intraspinal cyst from the histopathological result. The surgical treatment results in a favorable outcome, but a routine followup should monitor the improvement or long-term neurological decline.

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Section: Discussionsupporting

confidence: 52%

Section: Case Reportmentioning

confidence: 87%

Cervical myelopathy due to an endodermal intraspinal cyst in a two-year-old child: a case report

2021

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“…[ 6 , 8 ] Lesions are more commonly located dorsally resulting in displacement of the spinal cord anteriorly. [ 3 , 8 , 13 , 19 ] As in this case, SEACs commonly extend over several spinal segments, ranging between 2 and 13, with a mean of 5.04 vertebrae. [ 2 , 9 ]…”

Section: Discussionmentioning

confidence: 99%

“…They comprise only about 1–3% of all spinal masses. [ 13 , 19 ] Along the length of the spinal cord, spinal arachnoid cysts could be intradural, extradural, or perineural in location. [ 8 ] Two studies that analyzed 35 patients with spinal arachnoid cysts demonstrated that intradural arachnoid cysts are more common than extradural arachnoid cysts, with the prevalence of each ranging between 50–54% and 27–38%, respectively.…”

Section: Introductionmentioning

confidence: 99%

Extradural spinal cyst in a pediatric patient: A case report

Sawaya,

Savla,

Minasian

2024

Surgical Neurology International

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Background: Spinal extradural arachnoid cysts comprise <1% of all spinal lesions and are rare findings in pediatric patients. The pathogenesis of spinal extradural arachnoid cysts is not well known but is thought to most commonly be due to congenital dural defects. Other origins include trauma, inflammation, or infection, such as arachnoiditis. Spinal magnetic resonance imaging is the gold standard for diagnosis, showing a fluid-filled space dorsal to the spinal cord with signal intensity akin to cerebrospinal fluid (CSF) and often the site of dural defect with CSF leak. While most spinal extradural arachnoid cysts are asymptomatic, large cysts can compress the spinal cord or nerve roots, leading to myelopathy, radiculopathy, or focal pain symptoms. In such cases, surgical management is indicated. Case Description: Here, we present a case of a 15-year-old female who presented with lower back pain radiating to her bilateral posterior thighs and knees, with imaging indicating a thoracolumbar spinal extradural arachnoid cyst. After failed conservative treatment, surgical intervention in the form of laminectomy, fenestration of the arachnoid cyst, and repair of the dural defect was required, resolving the patient’s symptoms with no recurrence of the cyst. Conclusion: Complete resolution of pain in our patient following surgical management of spinal arachnoid cyst suggests that treatment of the arachnoid cyst can be achieved through minimal exposure to the site of the CSF leak to fenestrate the cyst and repair the leak.

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“…However, it was always found that the SEACs had a pedicle linking with dura mater [ 4 , 28 ]. In our cases of total cyst excision, most cysts were round on both blind ends, and the cysts could be removed en bloc after wholly separating from the dura [ 9 , 13 , 28 , 29 ] ( Fig. 5 A and B).…”

Section: Discussionmentioning

confidence: 99%