Thoracic spinal extradural arachnoid cyst: A case report and literature review

Author:

Marrone Salvatore1,Kharbat Abdurrahman F.2,Palmisciano Paolo3,Umana Giuseppe Emmanuele3,Haider Ali S.4,Iacopino Domenico Gerardo1,Nicoletti Giovanni Federico5,Scalia Gianluca5

Affiliation:

1. Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, AOUP “Paolo Giaccone”, Palermo, Italy,

2. Department of Neurosurgery, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA,

3. Department of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital, Catania, Italy,

4. Department of Neurosurgery, Texas A&M University College of Medicine, College Station, TX, USA,

5. Department of Neurosurgery, Highly Specialized Hospital and of National Importance “Garibaldi”, Catania, Italy.

Abstract

Background: Spinal extradural arachnoid cysts (SEDACs) are rare and are variously attributed to congenital, traumatic, or inflammatory etiologies. Here, we report a 70-year-old male who presented with a T11-T12 SEDAC and an incidental craniovertebral junction (CVJ) meningioma. Case Description: A 70-year-old male presented with progressive bilateral lower limb weakness and paresthesias. The thoracic MRI identified an extradural arachnoid cystic lesion at the T11-T12 level. In addition, the brain/ cervical MR documented an incidental meningioma at the CVJ. The patient underwent T11-T12 laminectomy for fenestration/removal of the extradural arachnoid cyst resulting in immediate cord decompression and neurological recovery. The histologic examination was consistent with a SEDAC who underwent successful resection of the SEDAC that resulted in symptom resolution. Conclusion: We presented a 71-year-old male with a thoracic SEDAC and an incidental CVJ meningioma, where resection of the SEDAC resulted in symptom resolution.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

Reference8 articles.

1. Idiopathic (“congenital”) spinal arachnoid diverticula. Clinical diagnosis and surgical results;Cilluffo;Mayo Clin Proc,1981

2. Congenital spinal extradural cysts: Case report with review of literature;Cloward;Ann Surg,1968

3. Rare spondylodiscitis due to Mycobacterium mucogenicum;Furnari;Surg Neurol Int,2020

4. Spinal extradural cyst: Case report and review of literature;Lee;World Neurosurg,2018

5. Multiple extradural arachnoid cysts as a cause of spinal cord compression in a child;Myles;J Neurosurg Spine,1999

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