Multiple Symptomatic Spinal Intradural Arachnoid Cysts: A Case Report

Vikrant Sharma, Suryanarayanan Bhaskar, Sarbesh Tiwari
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Abstract

Abstract A spinal arachnoid cyst is a rare entity representing only 1 to 3% of spinal canal lesions. Very few of them are reported to be symptomatic. Moreover, occurrence in multiples is even rarer. Extradural type is more common than intradural. In the spine, it is rare in the sacral region. Other common pathologies, such as a dermoid or epidermoid cyst, are often considered at presentation. Even magnetic resonance imaging can miss the diagnosis sometimes. We report a case with symptoms of paraparesis and incontinence at presentation, initially misdiagnosed as a dermoid cyst, later found to be multiple intradural arachnoid cysts located in the sacral region. Spinal arachnoid cysts may cause debilitating symptoms. The disease is completely curable if the detection and classification are early as in our case.
多发性症状性脊髓硬膜内蛛网膜囊肿1例报告
摘要脊髓蛛网膜囊肿是一种罕见的实体,仅占椎管病变的1%至3%。据报道,他们中很少有症状。而且,倍数出现的情况更加罕见。硬膜外型比硬膜内型更常见。在脊柱,它是罕见的在骶骨区域。其他常见病理,如皮样囊肿或表皮样囊肿,通常在就诊时考虑。即使是磁共振成像有时也会漏诊。我们报告一个病例的症状截瘫和大小便失禁,最初误诊为皮样囊肿,后来发现是多个硬膜内蛛网膜囊肿位于骶骨区域。脊髓蛛网膜囊肿可引起衰弱症状。如果像我们的病例一样及早发现和分类,这种疾病是完全可以治愈的。
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