Thoracic arachnoid cyst presenting as backache after spinal anaesthesia

Samuel, Soumi; Howell, Charlotte

doi:10.1111/j.1365-2044.2008.05723.x

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…Samuel in 2008 published the first ever case report of intradural arachnoid cyst after spinal anesthesia. [ 8 ] It usually presents itself in between fourth a sixth decade of life with a slight female predominance. [ 9 ] Our patient also presented in her early 40s.…”

Section: Discussionmentioning

confidence: 99%

Postepidural Spinal Intradural Arachnoid Cyst: A Rare Case Report

Umerani

Mostafa

Nada

et al. 2017

Journal of Neurosciences in Rural Practice

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Compression of the neural structures in spine by an intradural arachnoid cyst is a rare entity. At times such a cyst is an incidental finding. Spinal epidural injection is one of the few rare etiological factors for its development. Symptomatic cysts can present with variable neurological manifestations depending on the spinal level involved. This includes back pain, lower limb weakness, and sphincteric dysfunction. If asymptomatic, they can be followed radiologically. Surgical decompression along with a histological diagnosis is reserved for cysts that are enlarging, symptomatic or the ones for whom the diagnosis is uncertain. Incomplete excision of cyst wall or simple fenestration and decompression mandates close follow-up, clinically and radiologically for further recurrences.

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Section: Discussionmentioning

confidence: 99%

Postepidural Spinal Intradural Arachnoid Cyst: A Rare Case Report

Umerani

Mostafa

Nada

et al. 2017

Journal of Neurosciences in Rural Practice

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“…This complication following a spinal or epidural anaesthesic is very rare. 7,8 Collections usually occur secondary to lumbar spine surgery, with, although not exclusively so, durotomy. These dissections can be close or distant from the surgical site.…”

Section: Subdural Hygromas Are Collections Of Interstitial Andmentioning

confidence: 99%

“…Any progression in symptoms warrants further neurological imaging to assess for advancing intracranial pathology. 2,7 The risk of occult dural breech makes diagnosis of post dural puncture headache more difficult. 14 This case demonstrates the importance of structured anaesthetic follow-up after epidural labour analgesia, and the need to maintain high index of suspicion for pathological sequelae in atypical headaches or neurology with a low threshold for imaging and investigation.…”

Section: Subdural Hygromas Are Collections Of Interstitial Andmentioning

confidence: 99%

Cranial and Spinal Subdural Hygroma Following Lumbar Epidural for Labour Analgesia

Thompson¹,

Haden²,

David³

2019

Res Pract Anesthesiol Open J

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Intracranial hygroma is a rare and probably missed complication of epidural analgesia secondary to accidental dural breech. The patient presented had a presumed spinal cerebrospinal fluid leak with symptoms of intracranial hypotension. Unusually the patient had both an intracranial subdural hygroma and rarely reported extensive spinal intradural (extra-arachnoid) collection following a lumbar epidural, administered in labour. Given the potential for progression to symptomatic neurological deficits, anesthetists should consider subdural hygroma when encountering patients with features of intracranial hypotension, or altered neurology following epidural. Pathophysiology, imaging and management are discussed.

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“…Lower back pain is a common complaint among adults and can result from various underlying conditions [1]. One such condition is intradural extramedullary arachnoid cyst formation, which can develop following spinal anesthesia [2]. Arachnoid cysts have diverse etiologies.…”

Section: Introductionmentioning

confidence: 99%

“…One rare complication that has been reported in the literature is the formation of intradural extramedullary arachnoid cysts following spinal anesthesia. These cysts can cause a range of symptoms, including lower back pain, radiculopathy, and myelopathy [2]. The pathogenesis of these cysts is not well understood, but it is thought to be related to the disruption of the arachnoid membrane during the spinal anesthesia procedure [9].…”

Section: Introductionmentioning

confidence: 99%

Post-Spinal Anesthesia Intradural Extramedullary Arachnoid Cyst Formation: A Case Report

Shah¹,

Nasir²,

Malik³

et al. 2023

Cureus

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The formation of an intradural extramedullary arachnoid cyst is a rare complication of spinal anesthesia. We present a case of a 34-year-old female patient who developed neurological symptoms including a bilateral reduction in sensation and strength in the lower limbs following a C-section under spinal anesthesia. MRI of the thoracic spine revealed a lesion at the level of T11/T12 and the upper limit of the L1 vertebral body, which was pushing the cord to the side, and a diagnosis of the intradural extramedullary arachnoid cyst was established. The prognosis for this condition is good and surgical excision leads to resolution of the symptoms. Proper and prompt diagnosis is crucial to rule out other differentials and prevent permanent neurological damage in these patients.

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Thoracic arachnoid cyst presenting as backache after spinal anaesthesia

Cited by 6 publications

References 5 publications

Postepidural Spinal Intradural Arachnoid Cyst: A Rare Case Report

Postepidural Spinal Intradural Arachnoid Cyst: A Rare Case Report

Cranial and Spinal Subdural Hygroma Following Lumbar Epidural for Labour Analgesia

Post-Spinal Anesthesia Intradural Extramedullary Arachnoid Cyst Formation: A Case Report

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