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Ventral cervico-thoracic meningeal cyst resulting in myelopathy: Case report and literature review

BACKGROUND: Spinal meningeal (dural) cysts rarely cause spinal cord compression and/or myelopathy. CASE DESCRIPTION: A 38-year-old male presented with 6 weeks of worsening bilateral lower extremity paresthesias and an unsteady gait. Notably, the patient was involved in a snowmobile accident 7 years...

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Autores principales: Huang, Shiwei, Freeman, David, Galicich, Walter, Bergman, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8571186/
https://www.ncbi.nlm.nih.gov/pubmed/34754560
http://dx.doi.org/10.25259/SNI_850_2021
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author Huang, Shiwei
Freeman, David
Galicich, Walter
Bergman, Thomas
author_facet Huang, Shiwei
Freeman, David
Galicich, Walter
Bergman, Thomas
author_sort Huang, Shiwei
collection PubMed
description BACKGROUND: Spinal meningeal (dural) cysts rarely cause spinal cord compression and/or myelopathy. CASE DESCRIPTION: A 38-year-old male presented with 6 weeks of worsening bilateral lower extremity paresthesias and an unsteady gait. Notably, the patient was involved in a snowmobile accident 7 years ago that resulted in trauma to his thoracic spine for which he had undergone a corpectomy and posterior fusion. A full spine MRI was obtained to evaluate his new paresthesias and myelopathy, which revealed a large extra-axial fluid collection consistent with a meningeal cyst extending from C2 to T4. This caused severe spinal cord compression, maximal at the T1-3 level. The patient underwent a T1-3 laminectomy initially accompanied by partial cyst resection/ drainage, but ultimately he returned and required a subsequent cystoperitoneal shunt. Following the final surgery, the patient’s symptoms gradually resolved over 6 months postoperatively. CONCLUSION: Spinal meningeal cysts rarely cause back pain and/or neurological symptoms. MRI is the diagnostic study of choice for defining this entity. Operative intervention must be tailored to the symptoms, location, extent, and type of the cyst. If cysts recur after partial resection and drainage, cystoperitoneal shunt placement is warranted.
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spelling pubmed-85711862021-11-08 Ventral cervico-thoracic meningeal cyst resulting in myelopathy: Case report and literature review Huang, Shiwei Freeman, David Galicich, Walter Bergman, Thomas Surg Neurol Int Case Report BACKGROUND: Spinal meningeal (dural) cysts rarely cause spinal cord compression and/or myelopathy. CASE DESCRIPTION: A 38-year-old male presented with 6 weeks of worsening bilateral lower extremity paresthesias and an unsteady gait. Notably, the patient was involved in a snowmobile accident 7 years ago that resulted in trauma to his thoracic spine for which he had undergone a corpectomy and posterior fusion. A full spine MRI was obtained to evaluate his new paresthesias and myelopathy, which revealed a large extra-axial fluid collection consistent with a meningeal cyst extending from C2 to T4. This caused severe spinal cord compression, maximal at the T1-3 level. The patient underwent a T1-3 laminectomy initially accompanied by partial cyst resection/ drainage, but ultimately he returned and required a subsequent cystoperitoneal shunt. Following the final surgery, the patient’s symptoms gradually resolved over 6 months postoperatively. CONCLUSION: Spinal meningeal cysts rarely cause back pain and/or neurological symptoms. MRI is the diagnostic study of choice for defining this entity. Operative intervention must be tailored to the symptoms, location, extent, and type of the cyst. If cysts recur after partial resection and drainage, cystoperitoneal shunt placement is warranted. Scientific Scholar 2021-10-11 /pmc/articles/PMC8571186/ /pubmed/34754560 http://dx.doi.org/10.25259/SNI_850_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Huang, Shiwei
Freeman, David
Galicich, Walter
Bergman, Thomas
Ventral cervico-thoracic meningeal cyst resulting in myelopathy: Case report and literature review
title Ventral cervico-thoracic meningeal cyst resulting in myelopathy: Case report and literature review
title_full Ventral cervico-thoracic meningeal cyst resulting in myelopathy: Case report and literature review
title_fullStr Ventral cervico-thoracic meningeal cyst resulting in myelopathy: Case report and literature review
title_full_unstemmed Ventral cervico-thoracic meningeal cyst resulting in myelopathy: Case report and literature review
title_short Ventral cervico-thoracic meningeal cyst resulting in myelopathy: Case report and literature review
title_sort ventral cervico-thoracic meningeal cyst resulting in myelopathy: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8571186/
https://www.ncbi.nlm.nih.gov/pubmed/34754560
http://dx.doi.org/10.25259/SNI_850_2021
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