Spinal Extradural Arachnoid Cyst
Journal of Korean Neurosurgical Society
; : 355-358, 2013.
Article
em En
| WPRIM
| ID: wpr-170541
Biblioteca responsável:
WPRO
ABSTRACT
Spinal extradural arachnoid cyst (SEAC) is a rare disease and uncommon cause of compressive myelopathy. The etiology remains still unclear. We experienced 2 cases of SEACs and reviewed the cases and previous literatures. A 59-year-old man complained of both leg radiating pain and paresthesia for 4 years. His MRI showed an extradural cyst from T12 to L3 and we performed cyst fenestration and repaired the dural defect with tailored laminectomy. Another 51-year-old female patient visited our clinical with left buttock pain and paresthesia for 3 years. A large extradural cyst was found at T1-L2 level on MRI and a communication between the cyst and subarachnoid space was illustrated by CT-myelography. We performed cyst fenestration with primary repair of dural defect. Both patients' symptoms gradually subsided and follow up images taken 1-2 months postoperatively showed nearly disappeared cysts. There has been no documented recurrence in these two cases so far. Tailored laminotomy with cyst fenestration can be a safe and effective alternative choice in treating SEACs compared to traditional complete resection of cyst wall with multi-level laminectomy.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Parestesia
/
Aracnoide-Máter
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Recidiva
/
Compressão da Medula Espinal
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Espaço Subaracnóideo
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Nádegas
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Líquido Cefalorraquidiano
/
Seguimentos
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Doenças Raras
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Laminectomia
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2013
Tipo de documento:
Article