Cavalcante-Neto Joaquim Francisco, E Silva-Neto Lúcio Soares, Leal Paulo Roberto Lacerda, Moreira Cláudio Henrique Souza, Ribeiro Espártaco Moraes Lima, Cristino-Filho Gerardo, da Ponte Keven Ferreira
Department of Neurosurgery, Federal University of Ceará, Brazil.
Department of Neurosurgery, North Regional Hospital, Sobral, Ceará, Brazil.
Surg Neurol Int. 2021 Mar 17;12:101. doi: 10.25259/SNI_105_2021. eCollection 2021.
Extradural spinal arachnoid cysts (SACs) rarely cause neural compression and disability.
A 38-year-old female presented with a history of two episodes of falling due to transient weakness in the lower limbs. The neurological examination showed normal motor and sensory function, but hyperreflexia. The thoracic magnetic resonance imaging revealed multiple extradural SACs between the T3-L1 levels. Following complete surgical resection of the most symptomatic cyst, she did well. The histopathological examination confirmed a Type I extradural SAC.
Here, we discussed one case and reviewed the literature on the diagnosis and treatment of multiple extradural SACs.
硬脊膜外脊髓蛛网膜囊肿(SACs)很少引起神经压迫和残疾。
一名38岁女性有两次因下肢短暂无力而跌倒的病史。神经系统检查显示运动和感觉功能正常,但存在反射亢进。胸椎磁共振成像显示T3-L1水平之间有多个硬脊膜外SACs。在对最有症状的囊肿进行完全手术切除后,她恢复良好。组织病理学检查证实为I型硬脊膜外SAC。
在此,我们讨论了一例病例,并回顾了关于多发性硬脊膜外SACs诊断和治疗的文献。