Postepidural Spinal Intradural Arachnoid Cyst: A Rare Case Report
Muhammad Sohail Umerani1, Gabr Ahmed Mostafa1, Mona A F Nada1
1Department of Clinical Neurosciences, King Fahd Military Medical Complex, Dhahran, KSA.
Journal of Neurosciences in Rural Practice
|December 6, 2017
Summary
Intradural arachnoid cysts compressing the spine are rare, sometimes found incidentally. Spinal epidural injections may rarely cause them, requiring monitoring or surgery for symptomatic cases.
Area of Science:
- Neurosurgery
- Spinal Pathology
- Neurology
Background:
- Intradural arachnoid cysts are uncommon spinal lesions.
- They can cause neural compression and neurological deficits.
- Spinal epidural injections are a rare potential etiological factor.
Observation:
- These cysts can be incidental findings or present symptomatically.
- Symptoms vary based on spinal level, including back pain, leg weakness, and bowel/bladder dysfunction.
- Asymptomatic cysts may be managed with radiological surveillance.
Findings:
- Symptomatic or enlarging cysts warrant surgical decompression and histological diagnosis.
- Treatment options include cyst wall excision or fenestration.
- Recurrence is possible after incomplete excision or simple decompression.
Implications:
- Early diagnosis and appropriate management are crucial for preventing neurological damage.
- Close clinical and radiological follow-up is essential post-intervention to detect recurrence.
- Understanding the etiology, including iatrogenic factors like epidural injections, aids in prevention and management strategies.
