Should we resect all multiple intraspinal extradural arachnoid cysts?report of a case

Abstract

Multiple spinal extradural arachnoid cysts (SEACs) are relatively rare lesions, which may cause symptoms due to spinal cord compression. Radical resection of multiple SEACs during one-stage surgery is the primary treatment for the rare lesion, because of its effective and safe operation. Here, we present a 13-year-old female, who presented with a 3-month history of progressive weakness in the right leg. For the first time, we reported partial resection of multiple SEACs without treating the other parts, can also lead to a favorable outcome. No change in the cysts and spinal deformity were observed during a follow-up period of 5 years. KeywoRds: Extradural arachnoid cyst, Spinal cord compression, Magnetic resonance imaging (MRI) ÖZMultipl spinal ekstradural araknoid kistler (SEAC'ler) nispeten nadir lezyonlardır ve omurilik kompresyonu nedeniyle belirtilere yol açabilirler. Bu nadir lezyonlar için temel tedavi, etkin ve güvenli bir ameliyat olması nedeniyle tek aşamalı cerrahiyle radikal rezeksiyondur. Burada sağ bacakta 3 aydır progresif zayıflık öyküsüyle gelen 13 yaşında bir kız sunulmuştur. İlk defa olarak multipl SEAC'lerde diğer kısımları tedavi etmeden kısmi rezeksiyonun olumlu bir sonuç sağlayabileceğini bildirilmiştir. Beş yıllık bir takip döneminde kistlerde ve spinal deformitede bir değişiklik gözlenmemiştir.ANAHTAR sÖZCÜKLeR: Ekstradural araknoid kist, Spinal kord basısı, Manyetik rezonans görüntüleme (MRG)

Spinal Extradural Arachnoid Cysts: A Series of 10 Cases

“…Although some clinical studies include conservative treatment of extradural spinal arachnoid cysts, surgical treatment is recommended in cases with symptomatic neural compression. [15][16][17] In our series, in nine patients who did not respond to medical treatment had progressive back pain, radiculopathy and neurological deficits. Therefore, we performed surgical treatment.…”