Symptomatic Spinal Arachnoid Cysts: Report of Two Cases With Review of the Literature

Kumar, Krishna; Malik, Samaad; Schulte, Paul A.

doi:10.1097/00007632-200301150-00019

Cited by 75 publications

(53 citation statements)

References 18 publications

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“…In all other cases surgery is the best management. Several techniques have been proposed: fenestration of the cyst, resection of the cyst's wall, aspiration or placement of a shunt to the pleural, peritoneal and subarachnoid spaces (3, 6,8,10). Some authors report failure with placement of a shunt (6).…”

Section: Bakhti S Et Al: Extradural Spinal Arachnoid Cyst In a Childmentioning

confidence: 99%

Extra dural spinal arachnoid cyst occuring in a child: case report

Bakhti¹,

Djaadi²,

Terkmani³

et al. 2012

Turkish Neurosurgery

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Extradural archnoid spinal cysts are rare lesions. Their localization is usually the thoracic spine. Clinically, they are a cause of spinal cord and/ or nerve roots compression. The diagnosis is made by magnetic resonance imaging (MRI). The pathophysiology is not well known and seems to be different from intradural lesions. The best treatment is surgery. We report the case of a 5-year-old girl with spinal cord compression symptoms who was treated by open surgery. We performed dural defect repair. The outcome was good in the immediate post operative period without complication and total recovery.

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Section: Bakhti S Et Al: Extradural Spinal Arachnoid Cyst In a Childmentioning

confidence: 99%

Extra dural spinal arachnoid cyst occuring in a child: case report

Bakhti¹,

Djaadi²,

Terkmani³

et al. 2012

Turkish Neurosurgery

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“…4,14,15 Our case is unique, because the patient's spinal arachnoid cyst was not caused by any anomalies, and it exhibited an extensive lesion with a double cord sign on the axial MRI of the spine. While Kumar et al 16 explained the mechanism of cyst enlargement, there are several theories postulated by other authors, which include the following: 1) secretion of the cyst cell; 2) existence of a one-way valve; and 3) the pathological disposition of an arachnoid trabecule caused by diverticulum. In our case, it is difficult to know which mechanisms are associated with the provocation of symptoms among these factors.…”

Section: Discussionmentioning

confidence: 99%

“…2,6,7,12,19 If complete resection is impossible, other methods are also available as adjuvant procedures, such as fenestration of the cyst wall, percutaneous drainage, or cyst shunting to the atrium, pleura, or peritoneum. 10,16,[20][21][22] If the cyst adheres to the spinal canal, marsupialization is recommended to relieve symptoms successfully. 23 The best reliable treatment is complete surgical excision of the cystic structure in order to recover the neurologic symptoms.…”

Section: Discussionmentioning

confidence: 99%

Extensive spinal intradural arachnoid cyst exhibiting a “double cord sign” on magnetic resonance imaging

Min

Kim

2016

Journal of Orthopaedics

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however, motor power at the C8-T1 level of the right unaffected side was impaired and included finger abduction and finger flexion, which decreased to 4/5. During the second operation, the arachnoid cyst was exposed by performing a right unilateral laminectomy.The patient's neurologic symptoms were improved without neurologic sequelae. Conclusion: In the case of an extensive cyst that exhibits a double cord sign, an intradural arachnoid cyst should be suspected as a differential diagnosis. Without radical excision of all lesions, neurologic symptoms can be recovered by performing selective resection and CSF normalization can be achieved even at extensive levels.

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“…Very few cases reported findings in the craniocervical junction or the cervical spine [14,16,28]. The most usual clinical findings are paraparesis, neuropathetic pain, gait ataxia, hypaesthesia or dysaesthesia, rarely incontinence [30] and also unusual symptoms, including headaches in cervical cysts [27] and angina in thoracic ones [17]. Paraparesis and severe gait disturbance lead to residual falls.…”

Section: Discussionmentioning

confidence: 99%

Spinal cord compression caused by idiopathic intradural arachnoid cysts of the spine: review of the literature and illustrated case

et al. 2009

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Intradural spinal arachnoid cysts with cord compression are rare. When becoming symptomatic they cause variable symptoms involving gait disturbance, paraparesis or tetraparesis and neuropathic pain, decreasing significantly the patients' life quality. The extension of such cysts averages 3.7 vertebral bodies. The diagnosis is clinical and radiological with the use of MRI, CT myelography or a combination of both. The best treatment option is complete removal of the cyst. However, even when paresis is regressing there is no good recovery from neuropathic pain. Laminectomy approach can cause postoperative complications especially when the cyst(s) expand(s) in more than one level. Alternatively, a cyst fenestration can be performed, including the levels of the maximal spinal cord compression. The clinical outcome is as good as after the cyst resection enabling the patient to walk again. The neuropathic pain may persist and require medication. A clinical case is presented, and the literature is reviewed. In the present case we report a patient with intradural arachnoid cysts extending from T6 to L2 and causing severe gait ataxia as well as neuropathic pain and hypaesthesia. The spinal-cord was compressed at T8 and T12. Surgical treatment with partial cyst resection in the compressed levels with an interlaminar approach brought similar results as complete resection. The patient was able to walk without help which was not possible before surgery. The cysts' extension is impressive as well as the minimal operative procedure.

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Symptomatic Spinal Arachnoid Cysts: Report of Two Cases With Review of the Literature

Abstract: Our experience indicates that complete recovery from an arachnoid cyst is possible after surgical excision, even when symptoms are present for a long duration, even in the elderly.

Cited by 75 publications

References 18 publications

Extra dural spinal arachnoid cyst occuring in a child: case report

Extra dural spinal arachnoid cyst occuring in a child: case report

Extensive spinal intradural arachnoid cyst exhibiting a “double cord sign” on magnetic resonance imaging

Spinal cord compression caused by idiopathic intradural arachnoid cysts of the spine: review of the literature and illustrated case

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