Oyemolade Toyin A, Adeolu Augustine A, Badejo Oluwakemi A, Idowu Olusola K, Iwuagwu Ifeanyi E
Department of Neurological Surgery, University College Hospital Ibadan, Queen Elizabeth Road, Oritamefa, PMB 5116, Ibadan, Oyo State, Nigeria.
Division of Neurosurgery, Department of Surgery, Federal Medical Centre, Owo, Michael Adekunle Ajasin Road, PMB 1053, Owo, Ondo State, Nigeria.
J Surg Case Rep. 2025 May 21;2025(5):rjaf331. doi: 10.1093/jscr/rjaf331. eCollection 2025 May.
Spinal arachnoid cysts are rare spinal mass lesions. The pathogenesis is as yet poorly understood but the aetiology can be congenital or secondary to a number of infective and non-infective conditions. They can be extradural or intradural in location. They are characterized by a wide range of clinical manifestations, from asymptomatic lesions to severe myelopathy. Asymptomatic cysts can be managed conservatively while surgery is indicated in symptomatic cases. The operative technique of choice is complete excision of the cyst. The outcome is mainly related to the duration of symptoms, hence the need for early diagnosis and prompt treatment. In this study, we present the clinical profile and outcome of management of four operated cases of spinal arachnoid cysts in a tertiary hospital in Southwestern Nigeria.
脊髓蛛网膜囊肿是罕见的脊髓占位性病变。其发病机制尚未完全明确,但病因可能是先天性的,或继发于多种感染性和非感染性疾病。它们可位于硬膜外或硬膜内。其临床表现多种多样,从无症状病变到严重的脊髓病。无症状囊肿可保守治疗,而有症状的病例则需手术治疗。首选的手术技术是完整切除囊肿。预后主要与症状持续时间有关,因此需要早期诊断和及时治疗。在本研究中,我们展示了尼日利亚西南部一家三级医院4例接受手术治疗的脊髓蛛网膜囊肿患者的临床资料及治疗结果。