Operative management of idiopathic spinal intradural arachnoid cysts in children: a systematic review

Evangelou, Petros; Meixensberger, Jürgen; Bernhard, Matthias K.; Hirsch, Wolfgang; Kieß, Wieland; Merkenschlager, Andreas; Nestler, Ulf; Preuß, Matthias

doi:10.1007/s00381-012-1990-7

Cited by 28 publications

(14 citation statements)

References 26 publications

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“…Evangelou et al. 7 indicated that recovery was achieved without neurological abnormalities in 94% of 21 patients and that recurrence was detected in 9.5% of these patients. In the latter cases, the maximum interval until recurrence was 5 years.…”

Section: Discussionmentioning

confidence: 99%

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Recurrence of a symptomatic spinal intradural arachnoid cyst 29 years after fenestration

2019

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Symptomatic arachnoid cysts are relatively rare, and no case reports have described recurrence of such cysts almost 30 years after surgery. We herein report a case in which a symptomatic intradural arachnoid cyst recurred 29 years after fenestration of the primary lesion. The patient was a 64-year-old woman who presented with paralysis of the left lower limb. She had undergone surgical treatment for an intradural arachnoid cyst at the T12 level 29 years previously. Magnetic resonance imaging (MRI) revealed an intradural mass at the T12–L1 level. The mass was compressing the spinal cord and cauda equina. Its localization and shape on MRI were similar to those of the primary cyst 29 years previously. Partial resection was performed under a diagnosis of a recurrent intradural arachnoid cyst. After surgery, the patient’s left lower limb paralysis improved. The pathological findings were suggestive of an intradural arachnoid cyst. The MRI findings 29 years previously provided useful information. The possibility of very late recurrence should be considered in patients who undergo surgical removal of intradural arachnoid cysts.

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Section: Discussionmentioning

confidence: 99%

“…However, Evangelou et al. 7 emphasized the necessity of postoperative follow-up MRI and reported that the recurrence rate according to MRI was 5.3%. In another study, Takahashi et al.…”

Section: Discussionmentioning

confidence: 99%

Recurrence of a symptomatic spinal intradural arachnoid cyst 29 years after fenestration

2019

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“…Most patients present complete or significant recovery, and many remain stable, even when symptoms have been present for a long time. 1,14,15 About the negative findings from this pathology, the most invasive opening in repeated laminectomies is related to complications such as kyphoscoliosis. 2 The patient may also develop syringomyelia and slow progressive myelopathy.…”

Section: Discussionmentioning

confidence: 99%

Intradural Spinal Arachnoid Cyst in a Pediatric Patient: A Case Report

Bedin¹,

Bizzi²,

Flores³

et al. 2021

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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The present case reports a 13-year-old patient with an intradural arachnoid cyst, which manifested itself with a sudden loss of strength and sensitivity in the lower and upper limbs and a severe pain in the cervical and thoracic region. On examination, a lesion displayed as an intradural hematoma; however, a laminotomy was performed and it was realized that the lesion was an arachnoid spinal cyst of the cervical-dorsal spine.

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“…Fenestration is one of the most often used and effective surgical procedures in the treatment of ISACs, particularly for primary lesions. 2,23 Wang et al described 3 cases of idiopathic thoracic ventral ISAC associated with syringomyelia that were successfully treated by fenestration with additional syringo-subarachnoid shunting as needed. 23 Primary ISACs not associated with AA could be well managed with fenestration even if the ISAC is located on the ventral side.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of a thoracic ventral intradural arachnoid cyst associated with syringomyelia: case report

Haimoto

Nishimura

Ginsberg

2019

Journal of Neurosurgery: Spine

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The pathogenesis of thoracic ventral intradural spinal arachnoid cyst (ISAC) is unknown due to its extremely low incidence. In addition, its surgical treatment is complicated because of the ventral location, large craniocaudal extension, and frequent coexistence of syringomyelia. The optimal surgical strategy for thoracic ventral ISAC remains unclear and continues to be a matter of debate. In this report, the authors describe an extremely rare case presenting with a compressive thoracic ventral ISAC associated with syringomyelia that was successfully treated with a simple cyst-pleural shunt. The patient’s medical history revealed bacterial spinal meningitis along with an extensive spinal epidural abscess, suggesting the incidence of extensive adhesive arachnoiditis (AA) to be a plausible cause for this pathology. Thoracic ventral ISAC reportedly occurs secondary to AA and is commonly associated with syringomyelia. Placement of a cyst-pleural shunt is an effective, safe, and uncomplicated surgical strategy, which can provide sufficient cyst drainage regardless of the coexistence of AA, and thus should be considered as primary surgical treatment. Syrinx drainage could be reserved for a later attempt in case the cyst-pleural shunt fails to reduce the extent of syringomyelia.

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Operative management of idiopathic spinal intradural arachnoid cysts in children: a systematic review

Cited by 28 publications

References 26 publications

Recurrence of a symptomatic spinal intradural arachnoid cyst 29 years after fenestration

Recurrence of a symptomatic spinal intradural arachnoid cyst 29 years after fenestration

Intradural Spinal Arachnoid Cyst in a Pediatric Patient: A Case Report

Surgical treatment of a thoracic ventral intradural arachnoid cyst associated with syringomyelia: case report

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