Chen H J, Chen L
Department of Neurosurgery, Chang Gung Medical College and Hospital, Kaohsiung Hsien, Taiwan.
J Neurosurg. 1996 Aug;85(2):351-3. doi: 10.3171/jns.1996.85.2.0351.
The case of an interdural arachnoid cyst of traumatic origin at the C3-5 level in an 18-year-old man was admitted to our hospital with a 1-year history of progressive weakness in left limbs and numbness below the clavicles is reported. He had had a C-2 fracture at the age of 9 years without definite neurological deficits. Magnetic resonance imaging revealed a cystic lesion in the C3-5 level. Laminectomy was performed, and an interdural cyst was found. Histological examination revealed fibrous thickening of the arachnoid membrane. A cyst located in the interdural space of upper cervical spine is extremely rare.
报道了一名18岁男性,因C3 - 5水平创伤性硬膜间蛛网膜囊肿入院,其左上肢进行性无力及锁骨以下麻木已有1年病史。他9岁时曾发生C2骨折,当时无明确神经功能缺损。磁共振成像显示C3 - 5水平有一个囊性病变。进行了椎板切除术,发现一个硬膜间囊肿。组织学检查显示蛛网膜纤维增厚。位于上颈椎硬膜间间隙的囊肿极为罕见。