Effectiveness of a transforaminal surgical procedure for spinal extradural arachnoid cyst in the upper lumbar spine

Ido, Kazuhiro; Matsuoka, Hidenori; Urushidani, H.

doi:10.1054/jocn.2002.1138

Cited by 23 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Of these, 48 reported cases at thoracic or thoracolumbar levels, and 5 reported long lesions between the thoracic and sacral levels. Four were at sacral levels, and only 6 were limited to the lumbar levels [ 10 – 14 ]. Retrieved data included participant characteristics, the level of the lesion, clinical symptoms, the surgical procedure, the presence of disc herniation or trauma, and the clinical outcomes ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

A Symptomatic Spinal Extradural Arachnoid Cyst with Lumbar Disc Herniation

Kadono

Yuguchi²,

Ohnishi

et al. 2015

Case Reports in Orthopedics

View full text Add to dashboard Cite

Spinal epidural arachnoid cyst (EAC) is a rare, usually asymptomatic condition of unknown origin, which typically involves the lower thoracic spine. We report a case of posttraumatic symptomatic EAC with lumbar disc herniation. A 22-year-old man experienced back pain and sciatica after a traffic accident. Neurological examination revealed a right L5 radiculopathy. Magnetic resonance imaging demonstrated a cystic lesion at the L3 to L5 level and an L4-5 disc herniation; computed tomography myelography showed that the right L5 root was sandwiched between the cyst and the herniation. A dural defect was identified during surgery. The cyst was excised completely and the defect was repaired. A herniation was excised beside the dural sac. Histology showed that the cyst wall consisted of collagen and meningothelial cells. Postoperatively the symptoms resolved. Lumbar spinal EACs are rare; such cysts may arise from a congenital dural crack and grow gradually. The 6 cases of symptomatic lumbar EAC reported in the literature were not associated with disc herniation or trauma. In this case, the comorbid disc herniation was involved in symptom progression. Although many EACs are asymptomatic, comorbid spinal disorders such as disc herniation or trauma can result in symptom progression.

show abstract

Section: Discussionmentioning

confidence: 99%

A Symptomatic Spinal Extradural Arachnoid Cyst with Lumbar Disc Herniation

Kadono

Yuguchi²,

Ohnishi

et al. 2015

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

“…Le defect de la dure mère est due à une anomalie structurale, d'origine congénitale, conséquence d'une défaillance de l'étanchéité des fibres collagènes. Cette défaillance conduit à un allongement et une ectasie de la dure mère (8). L'accroissement du kyste dépendrait pour Cloward (5) de 3 facteurs : la pression hydrostatique du L.C.R.…”

Section: Discussionunclassified

“…Le kyste arachnoïdien extra-dural spinal, décrit comme un kyste « méningé » ou poche « arachnoïdienne », est une affection rare dont la localisation thoracique est la plus fréquente avec une prédominance masculine (8,9). Il est généralement asymptomatique.…”

Section: Introductionunclassified

Kyste arachnoïdien extradural rachidien

Naama¹,

Mansouri²

2010

African Journal of Neurological Sciences

View full text Add to dashboard Cite

Le kyste arachnoïdien extra-dural spinal est une affection rare. Sa pathogénie reste méconnue. Nous rapportons le cas d'une jeune fille de 12 ans, sans antécédents pathologiques, admise au service de neurochirurgie, hôpital militaire Avicenne, Marrakech, pour un syndrome de compression médullaire à l'étage thoracique, au stade de paraparésie spastique. L'IRM a objectivé une lésion kystique thoracique postérieure en regard de D6-D8 d'allure extradurale. Le kyste a été enlevé par voie d'abord postérieure. L'examen histologique a conclu à un kyste arachnoïdien. L'évolution post-opératoire a été marquée par une récupération progressive du déficit neurologique. Malgré sa grande rareté, le kyste arachnoïdien extradural thoracique est parmi les étiologies de syndrome de compression médullaire auxquelles il faut penser car son diagnostic permet la guérison constante par traitement chirurgical radical.

show abstract

“…The differential diagnosis of spinal arachnoid cysts includes Tarlov perineural cysts, 15 closed sacral meningoceles, 16 posttraumatic subluxations, root avulsions, pseudomeningoceles, iatrogenic cysts, ganglion cysts, synovial cysts, 11 cysts associated with ankylosing spondylitis, ependymal cysts, epidermoid and dermoid cysts, neurenteric cysts, 14 hydatid cysts, 8,13 aneurysmal bone cysts, mesothelial cysts, and disc cysts. 4 Effective surgical approaches include laminectomy or a transforaminal approach.…”

Section: Differential Diagnosis and Treatmentmentioning

confidence: 99%

“…4 Effective surgical approaches include laminectomy or a transforaminal approach. 3,11 Any communication with the subarachnoid space should be sought and sealed off. Total and partial cyst excision, marsupialization, drainage of cyst contents into the subarachnoid space or through a shunt, 41 closure of the dural defect, or closure of the communicating site have been successfully performed.…”

Section: Differential Diagnosis and Treatmentmentioning

confidence: 99%

Sacral epidural noncommunicating arachnoid cyst

Sakellaridis¹,

Panagopoulos²,

Mahera

2007

SPI

View full text Add to dashboard Cite

✓ The authors examine the natural history of a spinal epidural arachnoid cyst and present their experience with its treatment in a 25-year-old man who presented with progressive cauda equina syndrome. Neuroimaging revealed two neighboring sacral epidural cysts. The cysts were completely removed via a sacral S1–4 laminectomy; no communication with the subarachnoid space could be found. The patient's postoperative course was uneventful. He experienced progressive improvement and, finally, complete resolution of symptoms and no recurrence of the cyst. Nabors Type I sacral epidural arachnoid cysts are rare; in some cases their origins and the mechanism by which they cause deterioration in the patients' clinical condition are debatable. Findings in the present case support the idea that some of these cysts are noncommunicating but progressive in their clinical presentation. This lesion type is also known to occur intracranially. A brief review of the literature is provided.

show abstract

Effectiveness of a transforaminal surgical procedure for spinal extradural arachnoid cyst in the upper lumbar spine

Cited by 23 publications

References 8 publications

A Symptomatic Spinal Extradural Arachnoid Cyst with Lumbar Disc Herniation

A Symptomatic Spinal Extradural Arachnoid Cyst with Lumbar Disc Herniation

Kyste arachnoïdien extradural rachidien

Sacral epidural noncommunicating arachnoid cyst

Contact Info

Product

Resources

About