DOI QR코드

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Retroperitoneal Spinal Extradural Arachnoid Cyst Combined with Congenital Hemivertebrae

  • Park, Se-Hwan (Department of Neurosurgery, Yonsei University College of Medicine, Spine and Spinal Cord Institute, Gangnam Severance Hospital) ;
  • Kuh, Sung-Uk (Department of Neurosurgery, Yonsei University College of Medicine, Spine and Spinal Cord Institute, Gangnam Severance Hospital) ;
  • Lim, Beom Jin (Department of Pathology, Yonsei University College of Medicine)
  • 투고 : 2012.01.11
  • 심사 : 2012.08.29
  • 발행 : 2012.09.28

초록

Spinal extradural arachnoid cysts usually cause symptoms related to spinal cord or nerve root compression. Here, we report an atypical presentation of a spinal extradural arachnoid cyst combined with congenital hemivertebra which was presented as a retroperitoneal mass that exerted mass effects to the abdominal organs. On image studies, the communication between the cystic pedicle and the spinal arachnoid space was indistinct. Based on our experience and the literature of the pathogenesis, we planned anterior approach for removal of the arachnoid cyst in order to focus on mass removal rather than ligation of the fistulous channel. In our estimation this was feasible considering radiologic findings and also essential for the symptom relief. The cyst was totally removed with the clogged 'thecal sac-side' end of the cystic pedicle. The patient was free of abdominal discomfort by one month after the surgery.

키워드

참고문헌

  1. Choi JY, Kim SH, Lee WS, Sung KH : Spinal extradural arachnoid cyst. Acta Neurochir (Wien) 148 : 579-585; discussion 585, 2006 https://doi.org/10.1007/s00701-006-0744-2
  2. Cloward RB : Congenital spinal extradural cysts : case report with review of literature. Ann Surg 168 : 851-864, 1968 https://doi.org/10.1097/00000658-196811000-00011
  3. Gortvai P : Extradural cysts of the spinal canal. J Neurol Neurosurg Psychiatry 26 : 223-230, 1963 https://doi.org/10.1136/jnnp.26.3.223
  4. Kulkarni AG, Goel A, Thiruppathy SP, Desai K : Extradural arachnoid cysts : a study of seven cases. Br J Neurosurg 18 : 484-488, 2004 https://doi.org/10.1080/02688690400012368
  5. Lake PA, Minckler J, Scanlan RL : Spinal epidural cyst : theories of pathogenesis. Case report. J Neurosurg 40 : 774-778, 1974 https://doi.org/10.3171/jns.1974.40.6.0774
  6. Liu JK, Cole CD, Kan P, Schmidt MH : Spinal extradural arachnoid cysts : clinical, radiological, and surgical features. Neurosurg Focus 22 : E6, 2007
  7. Mao HQ, Yang HL, Geng DC, Bao ZH, Tang TS : Spinal extradural arachnoid cyst following percutaneous vertebroplasty. Eur Spine J 20 Suppl 2 : S206-S210, 2011 https://doi.org/10.1007/s00586-010-1569-5
  8. McCrum C, Williams B : Spinal extradural arachnoid pouches. Report of two cases. J Neurosurg 57 : 849-852, 1982 https://doi.org/10.3171/jns.1982.57.6.0849
  9. Nabors MW, Pait TG, Byrd EB, Karim NO, Davis DO, Kobrine AI, et al. : Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 68 : 366-377, 1988 https://doi.org/10.3171/jns.1988.68.3.0366
  10. Neo M, Koyama T, Sakamoto T, Fujibayashi S, Nakamura T : Detection of a dural defect by cinematic magnetic resonance imaging and its selective closure as a treatment for a spinal extradural arachnoid cyst. Spine (Phila Pa 1976) 29 : E426-E430, 2004 https://doi.org/10.1097/01.brs.0000141189.41705.70
  11. Rohrer DC, Burchiel KJ, Gruber DP : Intraspinal extradural meningeal cyst demonstrating ball-valve mechanism of formation. Case report. J Neurosurg 78 : 122-125, 1993 https://doi.org/10.3171/jns.1993.78.1.0122
  12. Sakellaridis N, Panagopoulos D, Mahera H : Sacral epidural noncommunicating arachnoid cyst. Case report and review of the literature. J Neurosurg Spine 6 : 473-478, 2007 https://doi.org/10.3171/spi.2007.6.5.473

피인용 문헌

  1. Clinical characteristics and treatment strategies for idiopathic spinal extradural arachnoid cysts: a single-center experience vol.157, pp.3, 2012, https://doi.org/10.1007/s00701-014-2278-3