Retrocerebellar arachnoid cyst resulting in syringomyelia in a patient without tonsillar herniation: successful surgical treatment with reconstruction of CSF flow in the foramen magnum region
| Autor: | Wu Hao, Fengzeng Jian, Feng Ling, Liyong Sun, Wenzhuo Fu, Zan Chen, Stephan Emich |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
musculoskeletal diseases congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Arachnoid cyst Humans Medicine Cyst Syrinx (medicine) Foramen Magnum Encephalocele Foramen magnum business.industry Laminectomy General Medicine Decompression Surgical medicine.disease Magnetic Resonance Imaging Syringomyelia Surgery Hydrocephalus Arachnoid Cysts body regions medicine.anatomical_structure Cerebrospinal fluid circulation Female 030211 gastroenterology & hepatology Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Neurosurgical Review. 39:341-347 |
| ISSN: | 1437-2320 0344-5607 |
| DOI: | 10.1007/s10143-015-0680-9 |
| Popis: | A retrocerebellar arachnoid cyst causing syringomyelia is extremely rare without tonsillar herniation. The authors present a 44-year-old woman with symptoms of foramen magnum compression and syringomyelia. Magnetic resonance imaging demonstrated a large retrocerebellar arachnoid cyst with a large cervicothoracic syrinx but no signs of tonsillar herniation or hydrocephalus. The patient underwent a foramen magnum decompression with C1 laminectomy, microsurgical fenestration of the cyst, and duraplasty. After successful reconstruction of CSF flow, the patient experienced a relief of symptoms and a significant reduction of the syrinx. The intraoperative findings support the theory of a piston mechanism in the development of syringomyelia. Additional arachnoidal adhesions may also obstruct the CSF flow around the craniocervical junction. We recommend the surgical treatment should consist of an adequate decompression of the foramen magnum, wide microsurgical arachnoidal debridement, and duraplasty with autologous grafts sutured in a watertight way. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink