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Giant cervicothoracic extradural arachnoid cyst: case report
Mustafa Kemal Hamamcioglu1, Cumhur Kilincer, Tufan Hicdonmez
1Department of Neurosurgery, Trakya University Medical Faculty, Edirne, Turkey. mkemalh2@yahoo.com
Summary
This case report details an unusual spinal arachnoid cyst causing spastic quadriparesis. Surgical excision of the large, extradural cyst was successful, offering insights into rare spinal pathologies.
Area of Science:
- Neurosurgery
- Spinal cord pathology
- Cerebrospinal fluid dynamics
Background:
- Spinal arachnoid cysts are rare, with poorly understood pathogenesis and treatment.
- Limited literature exists on large, extradural cysts compressing the spinal cord.
Observation:
- A 57-year-old male presented with left-sided spastic quadriparesis.
- Radiological imaging revealed a large, cerebrospinal fluid-filled extradural cyst from C2 to T2, compressing the spinal cord anterolaterally.
Findings:
- The patient underwent successful total excision of the cyst via C4-T2 laminotomy.
- The dural defect was repaired, and the patient's neurological deficits were addressed.
Implications:
- This case highlights an exceptionally large and unusually located spinal arachnoid cyst.
- Discussing this rare presentation contributes to understanding spinal cord compression and surgical management.