Ghannane H, Lmejjati M, Ait Benali S. [Extradural thoracic arachnoid cyst. Case report and review of the literature].
Neurochirurgie 2006;
51:595-8. [PMID:
16553333 DOI:
10.1016/s0028-3770(05)83635-5]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE
To report an unusual and asymptomatic cause of cord compression treated surgically with good clinical outcome.
METHODS AND MATERIAL
We report a case of extradural arachnoid cyst in the thoracic region and review the literature on the clinical, neuroradiologic and therapeutic features.
RESULTS
A 17-year-old man, with unremarkable past medical history was referred to our institution of Neurosurgery, CHU Mohammed-VI, Marrakech, with progressive spastic paraparesis. Magnetic resonance imaging (MRI) showed a posterior extradural cystic lesion in the thoracic region from T6-T7 thoracic vertebra. The cyst was completely removed by posterior approach. An arachnoid cyst was confirmed at the histological study. Neurological symptoms improved after surgery.
CONCLUSION
Given its infrequency, the diagnosis of arachnoid cyst should be suspected when a cystic lesion causes cord compression. Surgery is the treatment of choice, providing good clinical outcome.
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