Spinal cord herniation into an extradural arachnoid cyst

2000 ◽  
Vol 7 (4) ◽  
pp. 330-331 ◽  
Author(s):  
Graham Martin
1981 ◽  
Vol 55 (6) ◽  
pp. 983-986 ◽  
Author(s):  
Hideaki Masuzawa ◽  
Hitoshi Nakayama ◽  
Nobuyuki Shitara ◽  
Takeyo Suzuki

✓ This is a report of a patient who developed sharp intercostal pain and Brown-Séquard syndrome. Displacement of the spinal cord toward an extradural mass was noted at the T4–5 vertebral level on iophendylate myelography and metrizamide computerized tomography myelography. Multiple meningeal diverticular lesions of congenital origin were also found. Surgical correction of the spinal cord, which had herniated into a laterally located extradural arachnoid cyst and become incarcerated, resulted in a complete neurological recovery.


Neurosurgery ◽  
1991 ◽  
Vol 29 (1) ◽  
pp. 137-139 ◽  
Author(s):  
Toyohiko Isu ◽  
Takashi Iizuka ◽  
Yoshinobu Iwasaki ◽  
Masafumi Nagashima ◽  
Minoru Akino ◽  
...  

Abstract Two rare cases of spinal cord herniation associated with intradural spinal arachnoid cyst are reported. A preoperative magnetic resonance imaging scan demonstrated the presence of spinal cord herniation, identified as a protrusion continuous with the spinal cord. Surgery upon the intradural spinal arachnoid cyst improved progressive neurological dysfunction. The authors postulate that spinal cord herniation occurred for the following reason: The pressure of the intradural arachnoid cyst on the dorsal aspect of the spinal cord caused thinning of the dura, leading to a tear and, thus, the development of an extradural arachnoid cyst. Along with the enlargement of intradural arachnoid cyst, the spinal cord herniated through the tear in the dura into the extradural arachnoid cyst. (Neurosurgery 29:137-139, 1991)


2006 ◽  
Vol 104 (3) ◽  
pp. 210-211 ◽  
Author(s):  
Farideh Nejat ◽  
Samira Zabihyan Cigarchi ◽  
Syed Shuja Kazmi

Spine ◽  
2017 ◽  
Vol 42 (16) ◽  
pp. E963-E968 ◽  
Author(s):  
Hiroaki Nakashima ◽  
Shiro Imagama ◽  
Hideki Yagi ◽  
Fumihiko Kato ◽  
Tokumi Kanemura ◽  
...  

2017 ◽  
Vol 27 (3) ◽  
pp. 341-345 ◽  
Author(s):  
Arnold H. Menezes ◽  
Patrick W. Hitchon ◽  
Brian J. Dlouhy

A family with familial spinal extradural arachnoid cyst is presented. A 14-year-old boy had an extensive T-8 through L-2 dorsal extradural arachnoid cyst with spinal cord compression and slowly progressive myelopathy. His mother had presented 4 years earlier with acute excruciating back pain due to the combination of a lumbar extradural arachnoid cyst at L2–4 and an extruded disc at L3–4. The literature is reviewed in light of the pathogenesis, imaging, and surgical technique required for treatment.


2018 ◽  
Vol 32 (1) ◽  
pp. 156-159
Author(s):  
Asheesh Kumar Gupta ◽  
Anand Sharma ◽  
Avdhesh Shukla ◽  
S.N. Iyengar

Abstract Extradural arachnoid cysts in the spine are uncommon causes of spinal cord compression in the paediatric population that are thought to arise from congenital defects in the duramater. In most literatures it is describe that such cysts communicating with the intrathecal subarachnoid space through a small defect in the dura. In this case report we describe a case of a child who presented with spinal cord compression caused by a large spinal extradural arachnoid cyst that did not communicate with the intradural subarachnoid space. An 9 year-old girl presented with progressive lower-extremity weakness, myelopathy, and severe gait ataxia. Magnetic resonance imaging of the spine demonstrated a large extradural arachnoid cyst extending from T4 to T9. The patient underwent a thoracic laminectomy for en bloc resection of the spinal extradural arachnoid cyst. Intra-operatively, the dura was intact and there was no evidence of communication into the intradural subarachnoid space. Postoperatively, the patient’s motor strength and ambulation improved immediately, and no subsequent cerebrospinal fluid leak occurred.


2014 ◽  
Vol 37 (v2supplement) ◽  
pp. Video8
Author(s):  
Paul C. McCormick

Dorsal thoracic arachnoid web is a rare but often overlooked cause of progressive myelopathy. Syringomyelia, either above or below the compressive arachnoid band, may also be present. Dorsal arachnoid cyst and ventral spinal cord herniation may be mistaken for this condition. This video demonstrates the microsurgical identification and techniques of resection of a dorsal arachnoid band producing a progressive myelopathy in a 63-year-old man.The video can be found here: http://youtu.be/KDNTqiyW6yo.


1991 ◽  
Vol 40 (2) ◽  
pp. 749-752
Author(s):  
Masakatsu Setojima ◽  
Yoshiaki Ueda ◽  
Hirohumi Chosa ◽  
Tetsu Murao ◽  
Shigeharu Nomura

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