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Related Concept Videos

Cranial and Spinal Meninges01:19

Cranial and Spinal Meninges

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The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Multiple Symptomatic Spinal Intradural Arachnoid Cysts: A Case Report.

Vikrant Sharma1, Suryanarayanan Bhaskar1, Sarbesh Tiwari2

  • 1Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Asian Journal of Neurosurgery
|December 28, 2023
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Multiple symptomatic spinal arachnoid cysts are rare, especially in the sacral region. Early diagnosis and classification of these rare spinal canal lesions are crucial for complete cure.

Keywords:
arachnoid cystdermoidintraduralmultiplespinal

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Area of Science:

  • Neurosurgery
  • Neurology
  • Radiology

Background:

  • Spinal arachnoid cysts are rare spinal canal lesions, accounting for 1-3% of cases.
  • Symptomatic and multiple arachnoid cysts are exceptionally uncommon, with extradural types being more frequent than intradural.
  • Sacral region cysts are rare, and differential diagnosis can include dermoid or epidermoid cysts, sometimes challenging even with MRI.

Purpose of the Study:

  • To report a rare case of multiple symptomatic intradural arachnoid cysts in the sacral region.
  • To highlight diagnostic challenges and the importance of early detection and classification.
  • To emphasize the curability of spinal arachnoid cysts with timely intervention.

Main Methods:

  • Case report detailing clinical presentation, diagnostic imaging, and treatment.
  • Review of literature on spinal arachnoid cysts, focusing on rarity, location, and presentation.
  • Comparison with initial misdiagnosis and final confirmed diagnosis.

Main Results:

  • A patient presented with paraparesis and incontinence, initially misdiagnosed as a dermoid cyst.
  • Magnetic resonance imaging (MRI) ultimately revealed multiple intradural arachnoid cysts in the sacral region.
  • The case underscores the diagnostic difficulties associated with rare spinal pathologies.

Conclusions:

  • Spinal arachnoid cysts, though rare, can cause significant neurological deficits.
  • Early and accurate diagnosis, despite potential imaging limitations, is key to successful treatment.
  • Complete cure is achievable for spinal arachnoid cysts with prompt detection and appropriate classification.