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Craniospinal intradural arachnoid cyst.

S Bhatia¹, R C Thakur, B I Devi

¹Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Postgraduate Medical Journal

|October 1, 1992

Summary

A rare congenital intradural arachnoid cyst extended from the cervical spine to the posterior cranial fossa. This unique spinal cord cyst presented with unusual urinary hesitancy symptoms.

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Area of Science:

Neurosurgery
Neurology
Developmental Biology

Background:

Congenital intradural arachnoid cysts are rare spinal malformations.
Typical locations involve the thoracic or lumbar spine.
Intradural cysts extending into the posterior cranial fossa are exceptionally uncommon.

Observation:

A patient presented with an unusual congenital intradural arachnoid cyst.
The cyst occupied a unique posterolateral position relative to the spinal cord.
It extended from the cervical spinal canal into the posterior cranial fossa.

Findings:

The cyst's extensive craniospinal location is highly unusual.
The presenting symptom of urinary hesitancy is a rare initial complaint for this condition.

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Posterolateral spinal cord compression by arachnoid cysts can manifest with diverse neurological deficits.

Implications:

This case highlights the broad spectrum of clinical presentations for spinal arachnoid cysts.
Understanding rare anatomical locations is crucial for accurate diagnosis and surgical planning.
Further research into the embryological origins of such extensive cysts may be warranted.