Spinal Arachnoid Cysts in Children

Duncan, Andrew W.; Hoare, R. D.

doi:10.1148/126.2.423

Cited by 52 publications

(19 citation statements)

References 6 publications

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“…1,3,10,17,19 In the reports on pediatric cases in the literature solitary cysts have been described. [1][2][3][4][5][6]10,11,14,15,17,20,22 We report the case of a 9-year-old girl whose spinal cord compression was caused by multiple extradural arachnoid cysts extending from the midthoracic region to the sacrum. This case is unusual because of the extent and number of cysts, each associated with a dural defect, suggesting an underlying weakness of the dura of the spinal canal.…”

mentioning

confidence: 99%

Multiple extradural arachnoid cysts as a cause of spinal cord compression in a child

Myles

Gupta²,

Armstrong³

et al. 1999

Journal of Neurosurgery: Spine

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✓ Symptomatic arachnoid cysts of the spine are uncommon in children and have only rarely been reported to occur extradurally. The authors report a case of multiple extradural spinal arachnoid cysts in a 9-year-old child who presented with signs of spinal cord compression. The extent of the disease, which affected the thoracic, lumbar, and sacral spine, and the number of independent cysts make this case unique and suggest an underlying defect in the dura of the spinal canal that is predisposed to the formation of cysts. The investigations of choice, surgical planning, and surgical technique are considered. The literature is reviewed and mechanisms of cyst formation discussed.

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mentioning

confidence: 99%

Multiple extradural arachnoid cysts as a cause of spinal cord compression in a child

Myles

Gupta²,

Armstrong³

et al. 1999

Journal of Neurosurgery: Spine

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“…Age ranged from 2 to 43 years with mean of 15/1 years. In 19 cases the cyst was detected in the first two decade of life [3-7,11-13,17]. Four cases were diagnosed in the third decade [8,14,15,19].…”

Section: Discussionmentioning

confidence: 99%

Anterior Cervical Arachnoid Cyst

Rahimizadeh¹,

Sharifi²

2013

Asian Spine J

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This report is composed of two patients with anteriorly located cervical intradural arachnoid cyst and review of 24 cases in Englishlanguage literature. Both of our patients were in the first two decades of life with neck pain and motor weakness. With suspicious diagnosis of anterior arachnoid cyst surgery was carried out in both cases, though laminectomy in one and laminoplasty in the other. The cyst wall was widely fenestrated with subsequent subtotal excision of the cyst. Both cases had good long-term outcome. The review disclosed male predominance. 73% of the patients were diagnosed within the first two decades of life. Neck pain and motor weakness were the dominant signs and symptoms of this pathology. Magnetic resonance imaging showing a cerebrospinal fluid (CSF) containing cyst was the best mode of diagnosis. Wide cyst fenestration with waying CSF into subarachnoid cyst was the most appropriate and applied surgery with optimal outcome.

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“…intraspinal CSF-containing cysts can occur as primary lesions, termed arachnoid cysts, or as the sequelae of chronic inflammation or trauma [1,2], in which case the term subarachnoid cyst (SAC) is used. The definitive radiologic diagnosis of spinal SAC is difficult.…”

Section: Extramedullarymentioning

confidence: 99%

“…In the past, radiographic evaluation has included plain films, Pantopaque myelography, and most recently water-soluble myelography followed by CT [3][4][5]. Plain films reveal primarily associated bony abnormalities, while myelography may be nondiagnostic if the cysts do not fill with contrast-and in those cases it may be impossible to differentiate them from noncystic spaceoccupying lesions [2,6]. In addition, if a block is present, a diagnosis is frequently not possible.…”

Section: Extramedullarymentioning

confidence: 99%