Cargando…
A Rare Cause of Thoracic Spinal Cord Compression by Multiple Large Tarlov Cysts
Spinal extradural arachnoid cyst (SEAC) is a rare cause of spinal cord compression. Bifocal location of thoracic and sacral SEACs is rarely reported in the literature. We report a case of thoracic spinal cord compression by SEAC associated with asymptomatic multiple sacral Tarlov cysts (TC). The sur...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Neurotraumatology Society
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5949522/ https://www.ncbi.nlm.nih.gov/pubmed/29774198 http://dx.doi.org/10.13004/kjnt.2018.14.1.35 |
_version_ | 1783322730630742016 |
---|---|
author | Kleib, Ahmed-Salem Salihy, Sidi-Mohamed Hamdi, Hussein Carron, Romain Soumaré, Outouma |
author_facet | Kleib, Ahmed-Salem Salihy, Sidi-Mohamed Hamdi, Hussein Carron, Romain Soumaré, Outouma |
author_sort | Kleib, Ahmed-Salem |
collection | PubMed |
description | Spinal extradural arachnoid cyst (SEAC) is a rare cause of spinal cord compression. Bifocal location of thoracic and sacral SEACs is rarely reported in the literature. We report a case of thoracic spinal cord compression by SEAC associated with asymptomatic multiple sacral Tarlov cysts (TC). The surgical management and postoperative outcome of the patient are discussed. A 34-year-old woman was referred to the hospital for acute thoracic pain with a history of chronic long-standing back pain. She complained of walking difficulties. Neurological examination demonstrated incomplete spastic paraplegia with sensory level in T9. Magnetic resonance imaging revealed a large cystic formation from T7-11 and at the level of the sacrum. We performed laminectomies at the level of interest from T7-11. The cysts were dissected from the underlying dura after removal of the cerebrospinal fluid. We found nerve tissue in the cysts. We excised the cyst and preserved the nerve roots. Subsequently, a duraplasty was performed with autologous grafts from the lumbar fascia. The condition of the patient improved after surgery and he was recovering well at follow-up. Although the surgical treatment of TC is controversial, especially at the sacral lumbar level, decompression at the dorsal level in this case is indisputable. |
format | Online Article Text |
id | pubmed-5949522 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Neurotraumatology Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-59495222018-05-17 A Rare Cause of Thoracic Spinal Cord Compression by Multiple Large Tarlov Cysts Kleib, Ahmed-Salem Salihy, Sidi-Mohamed Hamdi, Hussein Carron, Romain Soumaré, Outouma Korean J Neurotrauma Case Report Spinal extradural arachnoid cyst (SEAC) is a rare cause of spinal cord compression. Bifocal location of thoracic and sacral SEACs is rarely reported in the literature. We report a case of thoracic spinal cord compression by SEAC associated with asymptomatic multiple sacral Tarlov cysts (TC). The surgical management and postoperative outcome of the patient are discussed. A 34-year-old woman was referred to the hospital for acute thoracic pain with a history of chronic long-standing back pain. She complained of walking difficulties. Neurological examination demonstrated incomplete spastic paraplegia with sensory level in T9. Magnetic resonance imaging revealed a large cystic formation from T7-11 and at the level of the sacrum. We performed laminectomies at the level of interest from T7-11. The cysts were dissected from the underlying dura after removal of the cerebrospinal fluid. We found nerve tissue in the cysts. We excised the cyst and preserved the nerve roots. Subsequently, a duraplasty was performed with autologous grafts from the lumbar fascia. The condition of the patient improved after surgery and he was recovering well at follow-up. Although the surgical treatment of TC is controversial, especially at the sacral lumbar level, decompression at the dorsal level in this case is indisputable. Korean Neurotraumatology Society 2018-04 2018-04-30 /pmc/articles/PMC5949522/ /pubmed/29774198 http://dx.doi.org/10.13004/kjnt.2018.14.1.35 Text en Copyright © 2018 Korean Neurotraumatology Society http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kleib, Ahmed-Salem Salihy, Sidi-Mohamed Hamdi, Hussein Carron, Romain Soumaré, Outouma A Rare Cause of Thoracic Spinal Cord Compression by Multiple Large Tarlov Cysts |
title | A Rare Cause of Thoracic Spinal Cord Compression by Multiple Large Tarlov Cysts |
title_full | A Rare Cause of Thoracic Spinal Cord Compression by Multiple Large Tarlov Cysts |
title_fullStr | A Rare Cause of Thoracic Spinal Cord Compression by Multiple Large Tarlov Cysts |
title_full_unstemmed | A Rare Cause of Thoracic Spinal Cord Compression by Multiple Large Tarlov Cysts |
title_short | A Rare Cause of Thoracic Spinal Cord Compression by Multiple Large Tarlov Cysts |
title_sort | rare cause of thoracic spinal cord compression by multiple large tarlov cysts |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5949522/ https://www.ncbi.nlm.nih.gov/pubmed/29774198 http://dx.doi.org/10.13004/kjnt.2018.14.1.35 |
work_keys_str_mv | AT kleibahmedsalem ararecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT salihysidimohamed ararecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT hamdihussein ararecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT carronromain ararecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT soumareoutouma ararecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT kleibahmedsalem rarecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT salihysidimohamed rarecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT hamdihussein rarecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT carronromain rarecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts AT soumareoutouma rarecauseofthoracicspinalcordcompressionbymultiplelargetarlovcysts |