Giant Craniospinal Intramedullary Arachnoid Cyst: A Rare Occurrence

Diyora, Batuk; Dhall, Gagan; Bhende, Bhagyashri; More, Nilesh; Mulla, Mazharkhan; Vekaria, Mayank

doi:10.1055/s-0042-1750813

Cited by 1 publication

(1 citation statement)

References 8 publications

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“…The case ended with surgery with cysto-subarachnoid shunt. 23 Third case reported reaccumulation after 11 months after incomplete wall resection; no data are available about resurgery. 19 In our case during the surgery there was evidence of laminectomy but no drain or stiches for marsupialization, so we hypothesized that fenestration with or without cyst wall excision was done during the first surgery.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Recurrent Intramedullary Arachnoid Cyst: Case Report and Literature Review

Afana,

Kananeh,

Duraisamy

et al. 2023

Asian J Neurosurg

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Objectives This article reports the management of a case of a 32-year-old male who presented with progressive weakness in the lower limbs and spastic paraparesis secondary to an intramedullary arachnoid cyst (IMAC). For literature review, the authors used the phrase “intramedullary arachnoid cyst” in PubMed search engine. 23 articles describing cases with IMAC were included in this review, with a total of 26 patients. Materials and Methods We report a case with long term recurrant intramedullary arachnoid cyst and present a review on spinal intramedullary arachnoid cyst. Result IMAC is showing bimodal incidence and trending to occur below 10 years and after 30 years. However, rarely, it should be considered in the differential diagnosis of intramedullary cystic lesions. Authors suggest doing laminoplasty or fusion for the pediatric patients to prevent kyphoscoliosis deformity in the long run, but doing early surgery to gain better outcome. Resection of the cyst wall should be done as much as possible; if it could not be achieved, then marsupialization or cysto-subarachnoid shunt should be considered. Aspiration alone or fenestration is not enough to eradicate the cyst. Long-term and prospective studies are recommended to achieve the best treatment options. Conclusion Review supports early surgical treatment of symptomatic IMACs with resection of the cyst wall as much as possible.

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Section: Discussionmentioning

confidence: 99%