The radiological appearances of spinal extradural arachnoid cysts

Dastur, H. M.

doi:10.1136/jnnp.26.3.231

Cited by 54 publications

(18 citation statements)

References 2 publications

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“…14,21 One may hypothesize, however, that the same mechanisms responsible for dural ectasia seen in neurofibromatosis and connective tissue disorders (that is, scalloping of the surrounding osseous structures) may also contribute to the bone erosion and cyst expansion seen with giant Tarlov cysts. 5,9 In our case, the patient's imaging demonstrated multiple other perineural cysts as well as profound bone remodeling, suggesting a systemic rather than isolated phenomenon ( Fig. 2C and D).…”

Section: Discussionmentioning

confidence: 53%

Iatrogenic cerebrospinal fluid leak and intracranial hypotension after gynecological surgery

Creedon

Sahjpaul

2014

SPI

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Perineural cysts are common lesions of the sacral spine. They have rarely been reported in a presacral location, leading to their misdiagnosis as a gynecological lesion. The authors report the second such case, in a patient undergoing fenestration of what was presumed to be a benign pelvic cyst, and the resultant high-flow CSF leak that occurred. They describe the clinical presentation and manifestations of intracranial hypotension, as well as the pertinent investigations. They also review the literature for the best management options for this condition. Although they are uncommon, large perineural cysts should be included in the differential diagnosis when examining patients with a pelvic lesion. Appropriate imaging investigations should be performed to rule out a perineural cyst. The CSF leak that occurs from iatrogenic cyst fenestration may not respond to traditional first-line treatments for intracranial hypotension and may require early surgical intervention. The authors would recommend neurosurgical involvement prior to definitive treatment.

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Section: Discussionmentioning

confidence: 53%

Iatrogenic cerebrospinal fluid leak and intracranial hypotension after gynecological surgery

Creedon

Sahjpaul

2014

SPI

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“…Dastur [1] has also reported 3 cases in which a paravertebral shadow was present on plain AP spine X rays. This probably represents a meningocele and associated kyphoscoliosis, which can be seen in approximately one-third of the cases.…”

Section: Discussionmentioning

confidence: 99%

Extradural Meningeal Cyst

Roski

Rekate²,

Kurczynski³

et al. 1984

Pediatr Neurosurg

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Extradural meningeal cysts are rare spinal lesions. The clinical presentation is most often characterized by a slowly progressive spastic paraparesis, frequently associated with pain. Adequate drainage of the cyst with obliteration of the neck of the cyst or complete removal of the cyst can bring about a permanent resolution of the symptoms. The use of somatosensory cortical evoked responses also has an important role in the surgical management of this problem.

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“…The cysts nearly always lie dorsal to the dura and usually extend over more than two or three vertebrae. Cysts may be multiple (Kronborg 1967) or multilocular (Dastur 1963). They have been reported combined with other defects, such as atresia of the foraminae of Luschka and Magendie (Balestricri 1958) also absence of the arch of the atlas (Strang and Tovi 1961).…”

Section: Spinal Extradural Cystsmentioning

confidence: 93%