Multiple spinal extradural meningeal cysts presenting as acute paraplegia. Case report and review of the literature

Marbacher, Serge; Barth, Alain; Arnold, Marlene; Seiler, Rolf W (2007). Multiple spinal extradural meningeal cysts presenting as acute paraplegia. Case report and review of the literature. Journal of neurosurgery - spine, 6(5), pp. 465-72. Charlottesville, Va.: American Association of Neurological Surgeons 10.3171/spi.2007.6.5.465

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Multiple spinal extradural meningeal cysts are rare. To the authors' knowledge, there have been only four reported cases in the world literature. The authors report a case of multiple spinal extradural meningeal cysts in a 31-year-old woman presenting with acute paraplegia. Magnetic resonance imaging of the thoracolumbar spine revealed multiple extradural cystic lesions extending from T-7 to T-8 and from T-12 to L-3. Intraoperative findings demonstrated a white, fibrous, and tense cyst filled with cerebrospinal fluid-like colorless fluid. Excision of the posterior wall of the symptomatic cyst was followed by immediate neurological improvement. The examination of the pathological specimen showed a thick duralike layer of collagen and an inner membrane of arachnoid that is often not found in these lesions. The final diagnosis was based on combined imaging, intraoperative, and histopathological findings. The authors review the literature and discuss the etiological, diagnostic, and therapeutic aspects of this lesion.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Marbacher, Serge; Barth, Alain; Arnold, Marcel and Seiler, Rolf

ISSN:

1547-5654

ISBN:

17542516

Publisher:

American Association of Neurological Surgeons

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:55

Last Modified:

04 May 2014 23:16

Publisher DOI:

10.3171/spi.2007.6.5.465

PubMed ID:

17542516

Web of Science ID:

000246048100016

URI:

https://boris.unibe.ch/id/eprint/23298 (FactScience: 41080)

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