Idiopathic Intradural Extramedullary Arachnoid Cyst and Associated Syringomyelia

Moschettoni, Laura; Lisciani, Damiano; Cacciotti, Guglielmo; Fraioli, Mario Francesco

doi:https://doi.org/10.3814/2009/452627

Scholarly Research Exchange

On this page

Abstract References Copyright Related Articles

Case Report | Open Access

Volume 2009 | Article ID 452627 | https://doi.org/10.3814/2009/452627

Idiopathic Intradural Extramedullary Arachnoid Cyst and Associated Syringomyelia

Laura Moschettoni,¹Damiano Lisciani,¹Guglielmo Cacciotti,¹and Mario Francesco Fraioli¹

Received11 Dec 2008

Revised06 May 2009

Accepted11 May 2009

Published26 May 2009

Abstract

We report a case and discuss clinical features and radiological differential diagnosis of dorsal idiopathic extramedullary arachnoid cyst associated to a caudal syringomyelic cavitation. The aim of this article is to review the current literature on a rare topic as idiopathic intradural extramedullary arachnoid cyst with associated syringomyelia. We emphasize the fact that correct diagnosis and adequate treatment, which we believe is microsurgical fenestration of the cyst into the subarachnoid space, may lead to disappearance of syringomyelia and complete resolution of preoperative spinal cord compression symptoms.

References

H. Bassiouni, A. Hunold, S. Asgari, U. Hübschen, H.-J. König, and D. Stolke, “Spinal intradural juxtamedullary cysts in the adult: surgical management and outcome,” Neurosurgery, vol. 55, no. 6, pp. 1352–1360, 2004.
View at: Publisher Site | Google Scholar
R. Dulou, E. Blondet, G. Dutertre, J.-M. Delmas, F. De Soultrait, and P. Pernot, “Spinal cord compression by arachnoid cysts,” Neurochirurgie, vol. 52, no. 4, pp. 381–386, 2006.
View at: Publisher Site | Google Scholar
H.-J. Lee and D.-Y. Cho, “Symptomatic spinal intradural arachnoid cysts in the pediatric age group: description of three new cases and review of the literature,” Pediatric Neurosurgery, vol. 35, no. 4, pp. 181–187, 2001.
View at: Publisher Site | Google Scholar
M. Y. Wang, A. D. O. Levi, and B. A. Green, “Intradural spinal arachnoid cysts in adults,” Surgical Neurology, vol. 60, no. 1, pp. 49–55, 2003.
View at: Publisher Site | Google Scholar
M. Bruneau, T. Duprez, D. Rommel, and C. Raftopoulos, “Surgical treatment of a syringomyelia associated with an idiopathic arachnoid malformation disclosed by preoperative MRI,” Surgical Neurology, vol. 62, no. 6, pp. 552–555, 2004.
View at: Publisher Site | Google Scholar
R. K. Osenbach, J. C. Godersky, V. C. Traynelis, and R. D. Schelper, “Intradural extramedullary cysts of the spinal canal: clinical presentation, radiographic diagnosis, and surgical management,” Neurosurgery, vol. 30, no. 1, pp. 35–42, 1992.
View at: Google Scholar
G. Perret, D. Green, and J. Keller, “Diagnosis and treatment of intradural arachnoid cysts of the thoracic spine,” Radiology, vol. 79, pp. 425–429, 1962.
View at: Google Scholar
P. Teng and N. Rudner, “Multiple arachnoid diverticula,” Archives of Neurology, vol. 2, no. 3, pp. 348–356, 1960.
View at: Google Scholar
A. Fortuna, E. La Torre, and P. Ciappetta, “Arachnoid diverticula: a unitary approach to spinal cysts communicating with the subarachnoid space,” Acta Neurochirurgica, vol. 39, no. 3-4, pp. 259–268, 1977.
View at: Publisher Site | Google Scholar
D. P. Beall, D. J. Googe, R. L. Emery et al., “Extramedullary intradural spinal tumors: a pictorial review,” Current Problems in Diagnostic Radiology, vol. 36, no. 5, pp. 185–198, 2007.
View at: Publisher Site | Google Scholar
J. L. Dietemann, F. M. M. de la Palavesa, B. Kastler, J. M. Wafter, and E. Buchheit, “Thoracic intradural arachnoid cyst: possible pitfalls with myelo-CT and MR,” Neuroradiology, vol. 33, no. 1, pp. 90–91, 1991.
View at: Publisher Site | Google Scholar
C. H. Rabb, J. G. McComb, C. Raffel, and J. G. Kennedy, “Spinal arachnoid cysts in the pediatric age group: an association with neural tube defects,” Journal of Neurosurgery, vol. 77, no. 3, pp. 369–372, 1992.
View at: Google Scholar
I. J. Barrenechea, J. B. Lesser, A. L. Gidekel, L. Turjanski, and N. I. Perin, “Diagnosis and treatment of spinal cord herniation: a combined experience,” Journal of Neurosurgery: Spine, vol. 5, no. 4, pp. 294–302, 2006.
View at: Publisher Site | Google Scholar
A. Takeuchi, K. Miyamoto, S. Sugiyama, M. Saitou, H. Hosoe, and K. Shimizu, “Spinal arachnoid cysts associated with syringomyelia: report of two cases and a review of the literature,” Journal of Spinal Disorders and Techniques, vol. 16, no. 2, pp. 207–211, 2003.
View at: Google Scholar
L. T. Holly and U. Batzdorf, “Syringomyelia associated with intradural arachnoid cysts,” Journal of Neurosurgery: Spine, vol. 5, no. 2, pp. 111–116, 2006.
View at: Publisher Site | Google Scholar
P. W. A. Willems, W. M. van den Bergh, and W. P. Vandertop, “An arachnoid cyst presenting as an intramedullary tumour,” Journal of Neurology Neurosurgery and Psychiatry, vol. 68, no. 4, pp. 508–510, 2000.
View at: Publisher Site | Google Scholar

Copyright

Copyright © 2009 Laura Moschettoni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

PDF Download Citation

Download other formats

Order printed copies

Views

379

Downloads

0

Citations