Case Report:Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele in a child  

Case Report:Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele in a child

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作  者:Zheng-xi RAO Jin LI Si-qing HANG Chao YOU 

机构地区:[1]Department of Neurosurgery, West China Hospital, Siehuan University, Chengdu 610041, China

出  处:《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》2010年第6期429-432,共4页浙江大学学报(英文版)B辑(生物医学与生物技术)

摘  要:Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele is very rare.We report a case in a 9-year-old Chinese boy who presented with a two-week history of progressive paraparesis and gait ataxia.Magnetic resonance imaging revealed that a dorsal intradural extramedullary cystic lesion extended from T1 to T5 and compressed the spinal cord.A left lateral intrathoracic meningocele pouch was found incidentally at the level of T1.The arachnoid cyst as well as meningocele was removed and the spinal cord compression was relieved.Arachnoid cyst was confirmed by histological examination.The patient recovered well postoperatively.This is the second report of such a case in the world according to the available literature.The take-home message for our case is that the surgical approach should be individualized,depending on the size and location.Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele is very rare.We report a case in a 9-year-old Chinese boy who presented with a two-week history of progressive paraparesis and gait ataxia.Magnetic resonance imaging revealed that a dorsal intradural extramedullary cystic lesion extended from T1 to T5 and compressed the spinal cord.A left lateral intrathoracic meningocele pouch was found incidentally at the level of T1.The arachnoid cyst as well as meningocele was removed and the spinal cord compression was relieved.Arachnoid cyst was confirmed by histological examination.The patient recovered well postoperatively.This is the second report of such a case in the world according to the available literature.The take-home message for our case is that the surgical approach should be individualized,depending on the size and location.

关 键 词:Spinal intradural arachnoid cyst Intrathoracic meningocele Spinal cord compression Surgical treatment 

分 类 号:R744[医药卫生—神经病学与精神病学]

 

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