Malik Shumaila S, Shah Hadi, Nasir Maheen, Malik Safdar A, Malik Fahad
Radiology, Alnoor Diagnostic Center, Lahore, PAK.
Radiology, CMH Lahore Medical College and Institute of Dentistry, Lahore, PAK.
Cureus. 2023 Aug 9;15(8):e43199. doi: 10.7759/cureus.43199. eCollection 2023 Aug.
The formation of an intradural extramedullary arachnoid cyst is a rare complication of spinal anesthesia. We present a case of a 34-year-old female patient who developed neurological symptoms including a bilateral reduction in sensation and strength in the lower limbs following a C-section under spinal anesthesia. MRI of the thoracic spine revealed a lesion at the level of T11/T12 and the upper limit of the L1 vertebral body, which was pushing the cord to the side, and a diagnosis of the intradural extramedullary arachnoid cyst was established. The prognosis for this condition is good and surgical excision leads to resolution of the symptoms. Proper and prompt diagnosis is crucial to rule out other differentials and prevent permanent neurological damage in these patients.
硬脊膜内髓外蛛网膜囊肿的形成是脊髓麻醉的一种罕见并发症。我们报告一例34岁女性患者,在脊髓麻醉下剖宫产术后出现神经症状,包括双下肢感觉和力量减退。胸椎MRI显示T11/T12水平及L1椎体上缘有一病变,将脊髓推向一侧,确诊为硬脊膜内髓外蛛网膜囊肿。这种情况的预后良好,手术切除可使症状缓解。正确及时的诊断对于排除其他鉴别诊断及预防这些患者永久性神经损伤至关重要。