Spinal cord compression by an arachnoid cyst: a case report and review of the literature.

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Title:	Spinal cord compression by an arachnoid cyst: a case report and review of the literature.
Author(s):	Nuenen, B.F.L. van ; Grotenhuis, A. ; Vliet, T. van der ; Gijtenbeek, A.
Publication year:	2008
Source:	Zentralblatt Fur Neurochirurgie, vol. 69, iss. 3, (2008), pp. 155-157
ISSN:	0044-4251
DOI:	https://doi.org/10.1055/s-2007-1004584
Publication type:	Article / Letter to editor
Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/70969
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Subject:	DCN 1: Perception and Action DCN 2: Functional Neurogenomics DCN 3: Neuroinformatics UMCN 1.1: Functional Imaging UMCN 3.2: Cognitive neurosciences UMCN 3.3: Neurosensory disorders
Organization:	Neurology Neurosurgery Radiology
Journal title:	Zentralblatt Fur Neurochirurgie
Volume:	vol. 69
Issue:	iss. 3
Page start:	p. 155
Page end:	p. 157
Abstract:	BACKGROUND: Intradural extramedullary cysts are a rare cause of spinal cord compression. We present a case with slowly progressive radicular pain and gait disorder over several years, due to medullary compression by a giant cervico-thoracic arachnoid cyst. CASE REPORT: A 65-year-old man presented with progressive pain irradiating from the lower back to the waist and both legs over a period of 2 years. Neurological examination revealed a decreased sensation for pain, vibration, and proprioception below T7, without muscle weakness. Reflexes were increased in both lower extremities, with bilateral extensor plantar responses. The MRI showed an intradural extramedullary lesion, suggestive for an arachnoid cyst. The spinal cord was displaced and compressed anteriorly, with a smallest diameter of 1 mm. Surgical resection of the cyst resulted in decompression and re-expansion of the spinal cord as visualized with MRI. Neurological examination 6 months after surgery revealed nearly complete recovery of neurological deficits. DISCUSSION: This case report, together with a review of the literature, shows the extreme adaptability of the human spinal cord, in cases of slowly progressive compression.