Spinal cord herniation associated with an intradural spinal arachnoid cyst diagnosed by magnetic resonance imaging

Neurosurgery ◽  
1991 ◽  
pp. 137 ◽  
Author(s):  
T Isu ◽  
T Iizuka ◽  
Y Iwasaki ◽  
M Nagashima ◽  
M Akino ◽  
...  
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)


Neurosurgery ◽  
1990 ◽  
Vol 27 (4) ◽  
pp. 638-640 ◽  
Author(s):  
Patrick L. Valls ◽  
Gill L. Naul ◽  
Steven L. Kanter

Abstract Arachnoid cysts of the spinal canal are relatively common lesions that may be either intra- or extradural. These cysts are usually asymptomatic but may produce symptoms by compressing the spinal cord or nerve roots. We report a case in which an intradural thoracic arachnoid cyst became symptomatic after a routine decompressive lumbar laminectomy for spinal stenosis. Myelography revealed no abnormality, although magnetic resonance imaging and computed tomography after myelography demonstrated a mass within the posterior aspect of the thoracic spinal canal associated with anterior displacement and compression of the spinal cord. A change in the flow dynamics of the cerebrospinal fluid probably allowed the development of spinal cord compression due to one of the following: expansion of the cyst, decreased cerebrospinal fluid buffer between the cord and the cyst, or epidural venous engorgement. A concomitant and more cephalad lesion such as an arachnoid cyst should be considered when myelopathic complications arise after lumbar surgery. Magnetic resonance imaging and computed tomography after myelography are useful to demonstrate the additional pathological processes.


1989 ◽  
Vol 30 (5) ◽  
pp. 491-493 ◽  
Author(s):  
John K. Hald ◽  
S. J. Bakke ◽  
P. H. Nakstad ◽  
I. O. Skalpe ◽  
J. Wiberg

1991 ◽  
Vol 33 (1) ◽  
pp. 87-89 ◽  
Author(s):  
T. Gindre-Barrucand ◽  
F. Charleux ◽  
F. Turjman ◽  
A. Jouvet ◽  
C. Confavreux ◽  
...  

2015 ◽  
Vol 32 (5) ◽  
pp. 464
Author(s):  
Chang-ho Shin ◽  
Young-ki Kim ◽  
Tae-sung Hwang ◽  
Young-min Yoon ◽  
Dong-in Jung ◽  
...  

1989 ◽  
Vol 30 (5) ◽  
pp. 491-493 ◽  
Author(s):  
J. K. Hald ◽  
S. J. Bakke ◽  
P. H. Nakstad ◽  
I. O. Skalpe ◽  
J. Wiberg

The myelography, CT and MR imaging findings in a patient with an epidural spinal arachnoid cyst are discussed. MR imaging excellently demonstrated cyst size, cyst location and cord compression, and should be the method of choice in these cases.


Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1702
Author(s):  
Eiji Naito ◽  
Kohei Nakata ◽  
Yukiko Nakano ◽  
Yuta Nozue ◽  
Shintaro Kimura ◽  
...  

Canine degenerative myelopathy (DM) is a progressive and fatal neurodegenerative disease. However, a definitive diagnosis of DM can only be achieved by postmortem histopathological examination of the spinal cord. The purpose of this study was to investigate whether the volumetry of DRG using the ability of water-excitation magnetic resonance imaging (MRI) to visualize the DRG in dogs has premortem diagnostic value for DM. Eight dogs with DM, twenty-four dogs with intervertebral disc herniation (IVDH), and eight control dogs were scanned using a 3.0-tesla MRI system, and water-excitation images were obtained to visualize and measure the volume of DRG, normalized by body surface area. The normalized mean DRG volume between each spinal cord segment and mean volume of all DRG between T8 and L2 in the DM group was significantly lower than that in the control and the IVDH groups (P = 0.011, P = 0.002, respectively). There were no correlations within the normalized mean DRG volume between DM stage 1 and stage 4 (rs = 0.312, P = 0.128, respectively). In conclusion, DRG volumetry by the water-excitation MRI provides a non-invasive and quantitative assessment of neurodegeneration in DRG and may have diagnostic potential for DM.


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