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Multiple spinal extradural arachnoid cysts occurring in a child. Case report
Wihasto Suryaningtyas1, Muhammad Arifin
1Department of Neurosurgery, Airlangga University School of Medicine, Soetomo General Hospital, Surabaya, Indonesia. w_hasto@yahoo.co.uk
Insights
Multiple symptomatic extradural spinal arachnoid cysts are rare in children. This case highlights a 14-year-old with thoracic spinal cord compression due to these cysts, detailing diagnosis and surgical management.
Area of Science:
- Neurosurgery
- Pediatric Neurology
- Spinal Imaging
Background:
- Symptomatic multiple extradural arachnoid cysts are exceptionally rare in pediatric populations.
- Extradural spinal arachnoid cysts can cause significant neurological deficits due to spinal cord compression.
Observation:
- A 14-year-old presented with symptoms of spinal cord compression.
- The condition involved multiple extradural arachnoid cysts in the thoracic spine (T-5 to T-10).
- An underlying dural defect was identified as a predisposing factor for cyst formation.
Findings:
- Detailed imaging examinations were crucial for diagnosis and surgical planning.
- Surgical intervention was performed to address the spinal cord compression.
- The case underscores the importance of considering rare spinal pathologies in pediatric patients.
Implications:
- This case contributes to the limited literature on pediatric extradural spinal arachnoid cysts.
- Understanding cyst formation mechanisms is vital for potential preventative or therapeutic strategies.
- Effective surgical management can alleviate neurological symptoms in affected children.
Abstract:
Symptomatic multiple extradural arachnoid cysts of the spine are extremely uncommon in children and have only rarely been reported. The authors report a case of multiple extradural spinal arachnoid cysts in a 14-year-old child who presented with signs of spinal cord compression. The disease affected the thoracic spine and extended from T-5 to T-10 with an underlying defect in the dura of the spinal canal that was predisposed to the formation of cysts. The authors describe the imaging examination, surgical planning, and surgical technique, and they review the literature. They also discuss the possible mechanisms of cyst formation.
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