Arachnoid Cyst of the Craniocervical Junction: Case Report

Price, Stephen J.; David, Karoly M.; O’Donovan, Dominic G; Aspoas, A. Robert

doi:10.1097/00006123-200107000-00034

Cited by 11 publications

(14 citation statements)

References 12 publications

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“…There have been 12 cases reported by different authors including our presented case. The common point of these cases is that they did not need a ventriculoperitoneal shunt procedure except one case in which a cystoperitoneal shunt was performed [21][22][23][24][25][26][27]. Different surgical techniques such as a neuroendoscopic approach were used on these patients with an arachnoid cyst located in the fourth ventricle [28].…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Fourth Ventricle Arachnoid Cyst Extending to the Upper Border of the Dens of the Axis: A Case Report and Review of the Literature

Gülşen

2014

Open Access Maced J Med Sci

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Arachnoid cysts are congenital and non-tumorous intra-arachnoid fluid accumulations that make up about 1% of all intracranial space. occupying lesions. We report a patient with a fourth ventricle arachnoid cyst extending to the upper border of the dens of the axis. This patient progressively developed walking difficulty and stiffness in his legs together with difficulty in grasping objects with his hands within one year. The cyst was totally excised and the patient's symptoms improved in the early postoperative period, but he developed intraventricular and intracisternal air which was followed-up conservatively and resolved spontaneously

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Section: Discussionmentioning

confidence: 99%

Symptomatic Fourth Ventricle Arachnoid Cyst Extending to the Upper Border of the Dens of the Axis: A Case Report and Review of the Literature

Gülşen

2014

Open Access Maced J Med Sci

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“…4,7,17,18,[24][25][26]28,31 Although these cysts occupy an uncommon location, their pathogenesis does not seem to differ from their counterparts in the cervical spine or posterior cranial fossa. Some cases have documented a history of trauma or meningitis in patients.…”

Section: Discussionmentioning

confidence: 99%

“…Some cases have documented a history of trauma or meningitis in patients. 17,18,24 Among cases with primary arachnoid cysts, spinal defects were described in 2 patients: an enlarged foramen magnum and failed fusion of the posterior arch of C-1 in 1 patient 25 and a cervical myelomeningocele in the other. 26 The location of these cysts leads to symptoms associated with compression of the brainstem and spinal cord.…”

Section: Discussionmentioning

confidence: 99%

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Craniocervical arachnoid cyst in a patient with Klippel-Feil syndrome: a unique case

Khan

Ahmed

Thakur

et al. 2013

SPI

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Klippel-Feil syndrome, or brevicollis, is a complex congenital disorder caused by the improper segmentation of the cervical vertebrae. The authors present the very rare case of a patient with Klippel-Feil syndrome who presented with an intradural arachnoid cyst at the craniocervical junction. They also examine possible factors contributing to this association. A 46-year-old woman presented with complaints of progressively worsening headaches and dizziness of 18 months' duration. She also demonstrated mild bilateral upper-extremity weakness. Magnetic resonance imaging revealed fused cervical vertebrae and a dorsal intradural arachnoid cyst at the craniocervical junction, extending down to the fourth cervical level. Because of worsening myelopathy and the presence of brainstem compression, the patient underwent surgical excision of the arachnoid cyst, which was approached via a midline posterior suboccipital/upper cervical route. An endoscope was introduced through a gap between the occiput and fused upper cervical vertebrae, and the arachnoid cyst was widely fenestrated. Postoperatively, the patient has remained symptom free for more than 2 years with evidence of good radiological decompression. The authors report a unique association between craniocervical arachnoid cyst and Klippel-Feil syndrome. To their knowledge, no other cases of this association have been reported in the literature. Arachnoid cysts should be part of the differential diagnosis in the presence of worsening myelopathic symptoms or pain in patients with Klippel-Feil syndrome.

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“…The cysts are most commonly located in the thoracic spine, followed by the lumbosacral junction [3, 5, 8, 10, 19, 20, 21]. Thoracic cysts most often occur in the second decade of life because of the small canal at this level, and lumbosacral cysts appear in the 3rd to 5th decades of life because of the larger canal.…”

Section: Discussionmentioning

confidence: 99%

Spinal Cord Compression Caused by Extradural Arachnoid Cysts

Chang¹,

Chou²,

Bell³

et al. 2004

Pediatr Neurosurg

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Most spinal arachnoid cysts are asymptomatic and detected incidentally during magnetic resonance imaging or myelography. The etiology of intraspinal arachnoid cyst is not yet clear. We present two children with three spinal extradural arachnoid cysts and each cyst protruded from a separate dura defect. In both patients, plain radiographs demonstrated widening of the interpedicular distance, which suggested progressive widening of the spinal bony canal. Limited laminectomy was performed to remove the intraspinal cysts. Separate dura defects, the apparent predisposing factors, were also found and repaired. The patients completely recovered neurologically. Radical cyst removal and dura defect closure are the surgical intervention of choice in patients with symptomatic extradural arachnoid cyst.

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Arachnoid Cyst of the Craniocervical Junction: Case Report

Abstract: The symptomatology of these rare craniocervical arachnoid cysts and their development are discussed.

Cited by 11 publications

References 12 publications

Symptomatic Fourth Ventricle Arachnoid Cyst Extending to the Upper Border of the Dens of the Axis: A Case Report and Review of the Literature

Symptomatic Fourth Ventricle Arachnoid Cyst Extending to the Upper Border of the Dens of the Axis: A Case Report and Review of the Literature

Craniocervical arachnoid cyst in a patient with Klippel-Feil syndrome: a unique case

Spinal Cord Compression Caused by Extradural Arachnoid Cysts

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