Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment.

Abstract:

:Spinal extradural meningeal cysts are typically formed by a thin fibrotic membranous capsule, macroscopically similar that of an arachnoid membrane, filled by cerebro spinal fluid and related to a nerve root or to the posterior midline. Ventral location is extremely rare and when it occurs they usually cause spinal cord herniation through the ventral dural gap. A 61 year-old man who began with a two years long history of insidious tetraparesis, spasticity and hyperreflexia in lower extremities, and flaccid atrophy of upper limbs, without sensory manifestations, is presented. Investigation through magnetic resonance imaging demonstrated an extensive spinal ventral extradural cystic collection from C6 to T11. The lesion was approached through a laminectomy and a cyst-peritoneal shunt was introduced. The cyst reduced in size significantly and the patient is asymptomatic over a 48 months follow-up. This is the first reported case of a spontaneous ventral extradural spinal meningeal cyst causing cord compression. Cyst-peritoneal shunt was effective in the treatment of the case and it should be considered in cases in which complete resection of the cyst is made more difficult or risky by the need of more aggressive surgical maneuvers.

journal_name

Arq Neuropsiquiatr

authors

Prevedello DM,Tatsui CE,Koerbel A,Grande CV,Cordeiro JG,Araújo JC

doi

10.1590/s0004-282x2005000500026

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

855-8

issue

3B

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2005000500026

journal_volume

63

pub_type

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