Amirkhosravi Farshad, El Nihum Lamees I, Barber Sean M, Chan Edward Y, Kim Min P, Chihara Ray
Department of Surgery, Houston Methodist Hospital, Houston, Texas.
Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas.
Ann Thorac Surg Short Rep. 2023 Jan 13;1(2):253-255. doi: 10.1016/j.atssr.2023.01.001. eCollection 2023 Jun.
Growth of a spinal arachnoid cyst into the posterior mediastinum is a rare phenomenon not described in the literature. We present the case of a 30-year-old patient with chest pain, cough, fatigue, and occasional dysphagia who was found to have an 8 × 6.5 × 9.5-cm cyst located in the posterior mediastinum on imaging. The patient was taken to the operating room, where clear fluid positive for β-microglobulin consistent with cerebrospinal fluid was encountered. Dural communication with the spinal canal was identified, confirming diagnosis of an arachnoid cyst. This report aims to describe this rare thoracic disease and to provide surgical approach and management.
脊髓蛛网膜囊肿向后纵隔生长是一种罕见现象，文献中未见描述。我们报告一例30岁患者，有胸痛、咳嗽、乏力及偶尔吞咽困难症状，影像学检查发现后纵隔有一个8×6.5×9.5厘米的囊肿。患者被送往手术室，术中发现清亮液体β-微球蛋白阳性，与脑脊液一致。确定存在与椎管的硬脊膜交通，确诊为蛛网膜囊肿。本报告旨在描述这种罕见的胸部疾病，并提供手术入路及治疗方法。
