Anterior Cervical Arachnoid Cyst

Rahimizadeh, Abolfazl; Sharifi, Give

doi:10.4184/asj.2013.7.2.119

Cited by 17 publications

(23 citation statements)

References 24 publications

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“…In the literature, only 26 (17 children) cases had cysts anteriorly located in the cervical region, and the most frequent sign was quadriparesis. Previously, two pediatric patients presented with torticollis, neck pain, and paresis [9]. In our patient, we initially believed her neck pain was due to pneumonia as seen in first patient, but when her symptoms reoccurred, we looked for other causes.…”

Section: Discussionmentioning

confidence: 87%

Two Different Life-Threatening Cases: Presenting with Torticollis

Alkan

Emiroğlu

2016

Case Reports in Pediatrics

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Acquired torticollis can be the result of several different pathological mechanisms. It is generally related to trauma, tumors, and inflammatory processes of the cervical muscles, nerves, and vertebral synovia. Although upper respiratory tract and neck inflammation are common causes of acute febrile torticollis in children, diseases with as yet undefined relationships may also result in torticollis. This is the case of spinal arachnoid cyst and pneumonia.

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Section: Discussionmentioning

confidence: 87%

Two Different Life-Threatening Cases: Presenting with Torticollis

Alkan

Emiroğlu

2016

Case Reports in Pediatrics

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“…11,13 Spinal arachnoid cysts are usually discovered intradurally and are infrequently found extradurally, whereas an intramedullary arachnoid cyst remains an exception. [15][16][17] In extradural ones, prerequisite for the formation of the cyst is a dural defect that might be congenital or due to trauma. [4][5][6][7][8][9][10][11][12][13][14][15] In traumatic extradural arachnoid cysts, trauma is the cause of dural breach that allows outpouching of the arachnoid layer and its entrance into the extradural compartment.…”

Section: Discussionmentioning

confidence: 99%

Remote Paraparesis due to a Traumatic Extradural Arachnoid Cyst Developing 2 Years after Brachial Plexus Root Avulsion Injury: Case Report and Review of the Literature

Rahimizadeh

Ehteshami

Yazdi³

et al. 2015

J Brachial Plex Peripher Nerve Inj

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Traumatic extradural arachnoid cyst is a rare entity. However, late appearance of paraparesis due to formation of an extradural arachnoid cyst as a sequel of brachial plexus injury is extremely rare and the literature regarding this issue is scarce revealing only 11 cases. Herein, we report a patient with delayed progressive spastic paraparesis appearing after a multilevel brachial plexus root avulsion injury where imaging revealed formation of a large traumatic extradural arachnoid cyst at the cervicothoracic region. Furthermore, to propose that a high-energy trauma might simultaneously result in delayed formation of an extradural arachnoid cyst. However, preganglionic root avulsion injury with pseudomeningocele formation in association with extradural arachnoid cyst is not reported previously. A case of a 36-year-old man with spastic paraparesis developing 2 years after a multilevel brachial plexus root avulsion injury is presented. Root avulsion had immediately resulted in complete paralysis of the left upper limb that had not ameliorated. Imaging studies of the cervicothoracic region disclosed left-sided multilevel pseudomeningoceles and a large extradural arachnoid cyst extending from C5 to T2. After appropriate en bloc laminotomy, the cyst was excised and the causative dural tear was closed. Subsequently, three large defects of pseudomeningoceles were obliterated with artificial dural patch for the prevention of cord herniation. This was followed with laminoplasty of the corresponding levels after dural closure. The postoperative course was uneventful and paraparesis recovered steadily within 2 months. Paraparesis even years after brachial plexus injury should be regarded as a serious event that deserves extensive imaging survey for the possibility of the formation of an extradural arachnoid cyst. Careful review of the literature disclosed that the current case is the 12th case that an extradural arachnoid cyst has developed after brachial plexus injury and the first example that the pathogenic factor that might be implicated in occurrence of this rare association could be clarified with review of the MRI features. Actually, the presence of posttraumatic pseudomeningoceles in association with an arachnoid cyst in the current case is in favor of the belief that only preganglionic root injuries that are in close proximity to the spinal canal had been the cause dural tear with remote formation of extradural arachnoid cyst.

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“…Spinal arachnoid cysts have been a rare cause of spinal cord or nerve root compression, especially in the pediatric age group 2 . Most of these arachnoid cysts were considered congenital, however minor or major trauma was suspected to play a role in five instances [5][6][7][8][9] . Trauma might take part in the pathology and semiology of intradural arachnoid cysts in two ways either by producing a breach in the arachnoid membrane and subsequent development of a cyst or may trigger a silent preexisting arachnoid cyst into a symptomatic one.…”

Section: Discussionmentioning

confidence: 99%

“…Some degree of improvement is reported in 45.0% to 70.0% of cases following surgery, and complete elimination of symptoms is reported in 20.0% to 30.0% of cases 2 . 5 . A 4 year-old girl with an extradural spinal arachnoid cyst extending from the C4 to C7 situated anteriorly is reported here, pathogenesis, diagnosis and treatment modalities are discussed.…”

Section: Introductionmentioning

confidence: 99%

Anterior Cervical Arachnoid Cyst in A Child: A Case Report

Arman

Ekramullah

Mukherjee

et al. 2018

J. Natl Inst. Neurosci Bangladesh

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Intradural arachnoid cysts involving the spine are uncommon and especially rare in an anterior cervical location. In the literature, among 15 patients, 8 were in the paediatric age group and in 3 patients the cyst was localized to the full length of the cervical spinal canal. Although they occur secondary to trauma, haemorrhage, surgery or inflammation, most of them are known to be idiopathic or congenital. Although the disease shows a dramatic neurological course, early diagnosis and treatment could provide good results. In the paediatric age group, cervical anterior intradural arachnoid cyst is an unusual cause of quadriparesis. The rarity of this condition and the relevance of MRI in the accurate and early diagnosis is discussed here. A 4 year-old girl with a intradural arachnoid cyst extending from C4 to C7 situated anteriorly is reported here; diagnosis and treatment modalities are discussed.

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Anterior Cervical Arachnoid Cyst

Cited by 17 publications

References 24 publications

Two Different Life-Threatening Cases: Presenting with Torticollis

Two Different Life-Threatening Cases: Presenting with Torticollis

Remote Paraparesis due to a Traumatic Extradural Arachnoid Cyst Developing 2 Years after Brachial Plexus Root Avulsion Injury: Case Report and Review of the Literature

Anterior Cervical Arachnoid Cyst in A Child: A Case Report

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