SpineExtensive intradural arachnoid cyst of the lumbar spinal canal: case report
Section snippets
Case presentation
We report the case of a 41-year-old woman with an extensive intradural arachnoid cyst of the lumbar spinal canal. Following her initial onset of pain while she was lifting a heavy object, she was treated nonsurgically for three years without improvement. Diagnostic studies demonstrated a herniated L4-5 disk, which led to a diskectomy. Failure to improve prompted a second operation shortly after the first in an attempt to further decompress the nerve root. Despite intractable pain
Discussion
Large arachnoid cysts of the lumbar spine such as this are quite uncommon. Most spinal intradural arachnoid cysts are thought to be congenital [3] but acquired arachnoid cysts have also been reported as a result of trauma, hemorrhage, or infection [2]. Although clinical presentation often varies with the cyst’s size and location in addition to the patient’s age, many arachnoid cysts are discovered incidentally; thus, the exact incidence of these lesions remains unknown. Anecdotally, this
References (4)
- et al.
Symptomatic spinal intradural arachnoid cyst development after lumbar myelography. Case report and review of the literature
Spine
(1997) - et al.
Symptomatic spinal intradural arachnoid cysts in the pediatric age groupdescription of three new cases and review of the literature
Pediatr Neurosurg
(2001)
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