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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...

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Autores principales: Kleib, Ahmed-Salem, Salihy, Sidi-Mohamed, Hamdi, Hussein, Carron, Romain, Soumaré, Outouma
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
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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.
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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
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