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Spinal intramedullary arachnoid cyst.

Alok Sharma1, Parag Sayal, Prerna Badhe

  • 1Department of Neurosurgery, Lokamanya Tilak Municipal Medical College & General Hospital, Sion, Mumbai, India.

Indian Journal of Pediatrics
|January 5, 2005
PubMed
Summary
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This study details a rare pediatric case of an intramedullary spinal arachnoid cyst causing quadriparesis. Surgical removal led to significant neurological recovery, highlighting the importance of considering these cysts in pediatric differential diagnoses.

Area of Science:

  • Neurology
  • Neurosurgery
  • Pediatric Medicine

Background:

  • Spinal arachnoid cysts are uncommon lesions, with intradural and intramedullary types being particularly rare.
  • Symptomatic spinal arachnoid cysts in children are exceptionally rare, with only two prior reports of intramedullary cysts.

Observation:

  • A 10-year-old female presented with progressive quadriparesis.
  • Magnetic Resonance Imaging (MRI) revealed an intramedullary cystic lesion spanning from C4 to T2.

Findings:

  • The patient underwent laminectomy and partial cyst excision.
  • Histopathology confirmed the diagnosis of an arachnoid cyst.
  • Postoperative recovery was dramatic, with marked improvement in neurological status.

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Implications:

  • Intramedullary spinal arachnoid cysts should be included in the differential diagnosis for pediatric patients with progressive quadriplegia or paraplegia.
  • Surgical decompression for these cysts can result in substantial symptomatic improvement.