An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature

Spinal arachnoid cysts (SACs) arise either intra- or extradurally and are usually solitary, while cases of multiple SACs have been scarcely reported in the literature. Herein, we report on a rare case of multiple and recurring intradural spinal arachnoid cysts (SACs) causing severe spinal cord compr...

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Autores principales: El-Hajj, Victor Gabriel, Edström, Erik, Elmi-Terander, Adrian, Fletcher-Sandersjöö, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477091/
https://www.ncbi.nlm.nih.gov/pubmed/37526744
http://dx.doi.org/10.1007/s00701-023-05732-1
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author El-Hajj, Victor Gabriel
Edström, Erik
Elmi-Terander, Adrian
Fletcher-Sandersjöö, Alexander
author_facet El-Hajj, Victor Gabriel
Edström, Erik
Elmi-Terander, Adrian
Fletcher-Sandersjöö, Alexander
author_sort El-Hajj, Victor Gabriel
collection PubMed
description Spinal arachnoid cysts (SACs) arise either intra- or extradurally and are usually solitary, while cases of multiple SACs have been scarcely reported in the literature. Herein, we report on a rare case of multiple and recurring intradural spinal arachnoid cysts (SACs) causing severe spinal cord compression and neuropathic radicular pain, in a 35-year-old female with a 10-year follow-up. Two separate attempts at surgery were performed but only provided temporary relief since the cysts recurred and new ones formed along the entirety of the spinal cord. Finally, a conservative approach with physiotherapy and a combination of analgesic medications was pursued. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-023-05732-1.
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spelling pubmed-104770912023-09-06 An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature El-Hajj, Victor Gabriel Edström, Erik Elmi-Terander, Adrian Fletcher-Sandersjöö, Alexander Acta Neurochir (Wien) Case Report Spinal arachnoid cysts (SACs) arise either intra- or extradurally and are usually solitary, while cases of multiple SACs have been scarcely reported in the literature. Herein, we report on a rare case of multiple and recurring intradural spinal arachnoid cysts (SACs) causing severe spinal cord compression and neuropathic radicular pain, in a 35-year-old female with a 10-year follow-up. Two separate attempts at surgery were performed but only provided temporary relief since the cysts recurred and new ones formed along the entirety of the spinal cord. Finally, a conservative approach with physiotherapy and a combination of analgesic medications was pursued. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-023-05732-1. Springer Vienna 2023-08-01 2023 /pmc/articles/PMC10477091/ /pubmed/37526744 http://dx.doi.org/10.1007/s00701-023-05732-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
El-Hajj, Victor Gabriel
Edström, Erik
Elmi-Terander, Adrian
Fletcher-Sandersjöö, Alexander
An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature
title An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature
title_full An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature
title_fullStr An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature
title_full_unstemmed An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature
title_short An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature
title_sort unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477091/
https://www.ncbi.nlm.nih.gov/pubmed/37526744
http://dx.doi.org/10.1007/s00701-023-05732-1
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