Intramedullary arachnoid cyst: A rare cause of medullary compression

Author:

Niyonzima Oscar1,Gaye Sakho Magatte2,Ibrahima Fondo Alidji3,Faye Mohameth3,Nzisabira Jean Michel1,Bakhoum Mbagnick4

Affiliation:

1. Resident in Neurosurgery, Department of Neurosurgery, Fann Teaching Hospital, Cheikh Anta Diop Avenue, Postal Address 5035, Dakar, Senegal

2. 2Associate Professor of Neurosurgery, Department of Neurosurgery, Idrissa Pouye General Hospital, Grand Yoff, Postal Address 3270, Dakar, Senegal

3. Neurosurgeon, Department of Neurosurgery , Idrissa Pouye General Hospital, Grand Yoff, Postal Address 3270, Dakar, Senegal

4. Neurologist, Department of Internal Medicine, Idrissa Pouye General Hospital, Grand Yoff, Postal Address 3270, Dakar, Senegal

Abstract

This clinical case of intramedullary arachnoid cyst is the second reported case in Senegal. It concerns a 50-yearold woman, with no particular history, admitted for back pain associated with intermittent spinal claudication. The physical examination showed a dorsal spinal syndrome, spastic paraparesis, hypoesthesis under T9 sensitive territory with bilateral Babinski sign. Cutaneous-abdominal reflexes were abolished at T8. Magnetic resonance imaging (MRI) revealed an intramedullary cyst formation. The patient was operated on the day after her admission by a posterior approach with scopic tracking. She underwent a laminectomy from T7 to T9. Thereafter the cyst has been removed, then discharged three days after the surgery. The clinical follow-up showed a full recovery.

Publisher

Edorium Journals Pvt. Ltd.

Subject

General Medicine

Reference10 articles.

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2. Ranjan M, Yasha TC, Prasad C, Sampath S, Indira Devi B. Spinal intramedullary arachnoid cyst – A rare case or a distinct rare entity? Austin Neurosurg Open Access 2014;1(4):1018.

3. Ghannane H, Haddi M, Aniba K, Lmejjati M, Aït Benali S. Symptomatic intramedullary arachnoid cyst. Report of two cases and literature review. [Article in French]. Neurochirurgie 2007;53(2-3 Pt 1):54–7.

4. Nabors MW, Pait TG, Byrd EB, et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 1988;68(3):366–77.

5. Sharma A, Sayal P, Badhe P, Pandey A, Diyora B, Ingal H. Spinal intramedullary arachnoid cyst. Indian J Pediatr 2004;71(12):e65–7.

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