Paraplegia with lymphoedema - a rare case report.

Area of Science:

• Neurology
• Pediatric Neurology
• Radiology

Background:

• Arachnoid cysts are congenital malformations, typically presenting in infancy.
• Delayed onset in adolescence is uncommon but documented.
• Spinal arachnoid cysts can lead to significant neurological deficits.

Observation:

• A young female patient presented with atypical paraplegia and lymphedema.
• Symptom onset occurred during adolescence with rapid progression.
• Magnetic resonance imaging (MRI) of the spinal cord showed a characteristic arachnoid cyst.

Findings:

• The case highlights a rare presentation of spinal arachnoid cyst causing paraplegia with lymphedema.
• This emphasizes spinal cord compression as a potential consequence of congenital defects.
• Characteristic radiological findings on MRI were crucial for diagnosis.

Implications:

• This case underscores the importance of considering arachnoid cysts in pediatric patients with unexplained paraplegia and lymphedema.
• It highlights the diagnostic value of spinal MRI in identifying congenital spinal abnormalities.
• Further research into rare presentations of congenital disorders is warranted.