Extradural arachnoid cyst – Case report and literature review
Autor: | P. Zamprogno, Rafael Zoboli Guimarães, A. Aversa, Fernando Aécio de Amorim Carvalho, F. de Oliveira, Laryssa Braga, F. Leira |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
congenital
hereditary and neonatal diseases and abnormalities lcsh:Surgery Hyperreflexia lcsh:RC346-429 030218 nuclear medicine & medical imaging Arachnoid cyst Lesion 03 medical and health sciences 0302 clinical medicine Spinal cord compression medicine Cyst lcsh:Neurology. Diseases of the nervous system medicine.diagnostic_test business.industry Magnetic resonance imaging Anatomy lcsh:RD1-811 medicine.disease Spinal cord Clonus nervous system diseases body regions medicine.anatomical_structure Medulla tumors Surgery Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Interdisciplinary Neurosurgery, Vol 23, Iss, Pp 100995-(2021) |
ISSN: | 2214-7519 |
Popis: | Extradural arachnoid cysts (EAC) are a rare entity that may cause spinal cord or radicular nerve compression, usually in young adults. The most common locations are the posterior or posterolateral region of the thoracic spinal canal or the thoracolumbar junction. The most accepted theory is that they are formed by the protrusion of the arachnoid through a defect in the dura, they progressively increase in size through physiological Valsalva maneuvers performed dailyand then they can become symptomatic by direct neural compression. Surgery is the treatment of choice for these cases, with complete removal of the cyst and closure of the dural defect. Extradural arachnoid cysts have generally a good prognosis. This article aims to present a case of an extradural arachnoid cyst in a 13 year old patient with spinal cord compression syndrome (paraparesis with hyperreflexia, clonus and alteration of deep sensitivity in the lower limbs), without previous history of trauma. Dorsal spine magnetic resonance imaging revealed an extradural cystic lesion with significant spinal cord compression similar to the CSF in T2 weighted images. The lesion extended from T6 to T9. |
Databáze: | OpenAIRE |
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