Multiple spinal extradural arachnoid cysts occurring in a child. Case report

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.