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Cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: Case report and review of the literature
BACKGROUND: Spinal intradural extramedullary arachnoid cysts represent about 1–3% of all primary spinal space-occupying lesions often causing spinal cord and/or radicular nerve compression. Spontaneous intralesional hemorrhages are extremely rare and are typically found within intracranial arachnoid...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610042/ https://www.ncbi.nlm.nih.gov/pubmed/36324927 http://dx.doi.org/10.25259/SNI_343_2022 |
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author | Mastantuoni, Ciro Pizzuti, Valentina Ricciardi, Francesco D’Elia, Alessandro Leonetti, Settimio Colonnese, Claudio Innocenzi, Gualtiero |
author_facet | Mastantuoni, Ciro Pizzuti, Valentina Ricciardi, Francesco D’Elia, Alessandro Leonetti, Settimio Colonnese, Claudio Innocenzi, Gualtiero |
author_sort | Mastantuoni, Ciro |
collection | PubMed |
description | BACKGROUND: Spinal intradural extramedullary arachnoid cysts represent about 1–3% of all primary spinal space-occupying lesions often causing spinal cord and/or radicular nerve compression. Spontaneous intralesional hemorrhages are extremely rare and are typically found within intracranial arachnoid cysts. Here, a 55-year-old female presented with a spontaneous hemorrhage into a cervical spine arachnoid cyst warranting surgical intervention (i.e., fenestration/excision/occlusion). CASE DESCRIPTION: A 55-year-old female presented with 3 weeks of dull pain in the cervicothoracic region. She subsequently developed paresthesias and progressive lower extremity weakness with (urinary incontinence. The cervical magnetic resonance revealed a right anterolateral intradural extramedullary “cystic” lesion extending from C7 to T2; it contained a heterogeneous signalon T2W sequences, and a fluid-fluid level was documented on the T2-GRE and FLAIR sequences. At surgery, consisting of a laminectomy, two hemorrhagic cystic lesions were identified and removed. Histological findings were consistent with hemorrhagic into an arachnoid cyst. CONCLUSION: Only rarely hemorrhages develop in intraspinal intradural extramedullary spinal arachnoid cysts. |
format | Online Article Text |
id | pubmed-9610042 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-96100422022-11-01 Cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: Case report and review of the literature Mastantuoni, Ciro Pizzuti, Valentina Ricciardi, Francesco D’Elia, Alessandro Leonetti, Settimio Colonnese, Claudio Innocenzi, Gualtiero Surg Neurol Int Case Report BACKGROUND: Spinal intradural extramedullary arachnoid cysts represent about 1–3% of all primary spinal space-occupying lesions often causing spinal cord and/or radicular nerve compression. Spontaneous intralesional hemorrhages are extremely rare and are typically found within intracranial arachnoid cysts. Here, a 55-year-old female presented with a spontaneous hemorrhage into a cervical spine arachnoid cyst warranting surgical intervention (i.e., fenestration/excision/occlusion). CASE DESCRIPTION: A 55-year-old female presented with 3 weeks of dull pain in the cervicothoracic region. She subsequently developed paresthesias and progressive lower extremity weakness with (urinary incontinence. The cervical magnetic resonance revealed a right anterolateral intradural extramedullary “cystic” lesion extending from C7 to T2; it contained a heterogeneous signalon T2W sequences, and a fluid-fluid level was documented on the T2-GRE and FLAIR sequences. At surgery, consisting of a laminectomy, two hemorrhagic cystic lesions were identified and removed. Histological findings were consistent with hemorrhagic into an arachnoid cyst. CONCLUSION: Only rarely hemorrhages develop in intraspinal intradural extramedullary spinal arachnoid cysts. Scientific Scholar 2022-09-23 /pmc/articles/PMC9610042/ /pubmed/36324927 http://dx.doi.org/10.25259/SNI_343_2022 Text en Copyright: © 2022 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, transform, 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 Mastantuoni, Ciro Pizzuti, Valentina Ricciardi, Francesco D’Elia, Alessandro Leonetti, Settimio Colonnese, Claudio Innocenzi, Gualtiero Cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: Case report and review of the literature |
title | Cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: Case report and review of the literature |
title_full | Cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: Case report and review of the literature |
title_fullStr | Cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: Case report and review of the literature |
title_full_unstemmed | Cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: Case report and review of the literature |
title_short | Cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: Case report and review of the literature |
title_sort | cervical spine arachnoid cyst complicated by spontaneous intracystic hemorrhage: case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610042/ https://www.ncbi.nlm.nih.gov/pubmed/36324927 http://dx.doi.org/10.25259/SNI_343_2022 |
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