Gu Longyuan, Mei Shuhong, Fan Yuechao, Zhang Hui, Ji Peizhi
Department of Neurosurgery, Ji'an Central People's Hospital, Ji'an, Jiangxi, China.
Department of Neurosurgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Int J Surg Case Rep. 2024 Oct;123:110265. doi: 10.1016/j.ijscr.2024.110265. Epub 2024 Sep 10.
Spinal extradural arachnoid cyst (SEAC) is a rare condition that can cause significant neurological symptoms. Accurate diagnosis and effective surgical treatment are crucial for patient recovery. This study aims to elucidate the diagnostic process and surgical treatment strategies for SEAC through a case report.
A 33-year-old female patient with no significant medical history presented with intermittent lower back pain for over three months, which gradually worsened, but without accompanying limb numbness or weakness. Neurological examination revealed no abnormalities. Magnetic resonance imaging (MRI) and myelography confirmed a spinal extradural arachnoid cyst at the thoracic level. The patient underwent minimally invasive surgical resection of the cyst and dural repair, resulting in significant relief of pain postoperatively.
This case highlights the importance of precise diagnostic localization and meticulous surgical technique in treating SEAC. The patient showed significant improvement in symptoms post-surgery, with no recurrence observed during follow-up.
The successful treatment of SEAC in this case demonstrates the effectiveness of minimally invasive surgical resection and dural repair. This case provides valuable insights and recommendations for managing similar cases in clinical practice.
脊髓硬膜外蛛网膜囊肿（SEAC）是一种罕见疾病，可导致严重的神经症状。准确诊断和有效的手术治疗对患者康复至关重要。本研究旨在通过病例报告阐明SEAC的诊断过程和手术治疗策略。
一名33岁无重大病史的女性患者，出现间歇性下背痛三个多月，疼痛逐渐加重，但无肢体麻木或无力伴随症状。神经学检查未发现异常。磁共振成像（MRI）和脊髓造影证实胸段存在脊髓硬膜外蛛网膜囊肿。患者接受了囊肿的微创外科切除及硬脑膜修复，术后疼痛明显缓解。
该病例突出了精确诊断定位和细致手术技术在治疗SEAC中的重要性。患者术后症状显著改善，随访期间未观察到复发。
该病例中SEAC的成功治疗证明了微创外科切除及硬脑膜修复的有效性。本病例为临床实践中处理类似病例提供了有价值的见解和建议。
