Journal of Korean Neurosurgical Society

  • 제45권5호
  • /
  • Pages.315-317
  • /
  • 2009
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Syringomyelia Associated with a Spinal Arachnoid Cyst

  • Kim, Min-Su (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Kim, Seong-Ho (Department of Neurosurgery, College of Medicine, Yeungnam University)
  • 발행 : 2009.05.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

While syringomyelia is not a rare spinal disorder, syringomyelia associated with a spinal arachnoid cyst is very unusual. Here, we report a 62-year-old man who suffered from gait disturbance and numbness of bilateral lower extremities. Spinal magnetic resonance imaging (MRI) showed the presence of a spinal arachnoid cyst between the 7th cervical and 3rd thoracic vertebral segment and syringomyelia extending between the 6th cervical and 1st thoracic vertebral segment. The cyst had compressed the spinal cord anteriorly. Syringomyelia usually results from lesions that partially obstruct cerebrospinal fluid flow. Therefore, we concluded that the spinal arachnoid cyst was causing the syringomyelia. After simple excision of the arachnoid cyst, the symptoms were relieved. A follow-up MRI demonstrated that the syringomyelia had significantly decreased in size after removal of the arachnoid cyst. This report presents an unusual case of gait disturbance caused by syringomyelia associated with a spinal arachnoid cyst.

키워드

참고문헌

  1. Abou-Fakhr FS, Kanaan SV, Youness FM, Hourani MH, Haddad MC : Thoracic spinal intradural arachnoid cyst : report of two cases and review of literature. Eur Radiol 12 : 877-882, 2002 https://doi.org/10.1007/s003300100995
  2. Andrews BT, Weinstein PR, Rosenblum ML, Barbaro NM : Intradural arachnoid cysts of the spinal canal associated with intramedullary cysts. J Neurosurg 68 : 544-549, 1988 https://doi.org/10.3171/jns.1988.68.4.0544
  3. Chan RC, Thompson GB, Bratty PJ : Symptomatic anterior spinal arachnoid diverticulum. Neurosurgery 16 : 663-665, 1985 https://doi.org/10.1227/00006123-198505000-00014
  4. Clifton AG, Ginsberg L, Webb WJ, Valentine AR : Idiopathic spinal arachnoid cyst and syringomyelia. Br J Radiol 60 : 1023-1025, 1987 https://doi.org/10.1259/0007-1285-60-718-1023
  5. Fortuna A, La Torre E, Ciappetta P : Arachnoid diverticula : a unitary approach to spinal cysts communicating with the subarachnoid space. Acta Neurochir (Wien) 39 : 259-268, 1977 https://doi.org/10.1007/BF01406736
  6. Galzio RJ, Zenobii M, Lucantoni D, Cristuib-Grizzi L : Spinal intradural arachnoid cyst. Surg Neurol 17 : 388-391, 1982 https://doi.org/10.1016/0090-3019(82)90321-4
  7. Haney A, Stiller J, Zelnik N, Goodwin L : Association of posttraumatic spinal arachnoid cyst and syringomyelia. J Comput Tomogr 9 : 137-140, 1985 https://doi.org/10.1016/0149-936X(85)90008-6
  8. Holly LT, Batzdorf U : Syringomyelia associated with intradural arachnoid cysts. J Neurosurg Spine 5 : 111-116, 2006 https://doi.org/10.3171/spi.2006.5.2.111
  9. Jensen F, Knudsen V, Troelsen S : Recurrent intraspinal arachnoid cyst treated with a shunt procedure. Acta Neurochir (Wien) 39 : 127-129, 1977 https://doi.org/10.1007/BF01405250
  10. Mallucci CL, Stacey RJ, Miles JB, Williams B : Idiopathic syringomyelia and the importance of occult arachnoid webs, pouches and cysts. Br J Neurosurg 11 : 306-309, 1997 https://doi.org/10.1080/02688699746087
  11. McLean DR, Miller JD, Allen PB, Ezzeddin SA : Posttraumatic syringomyelia. J Neurosurg 39 : 485-492, 1973 https://doi.org/10.3171/jns.1973.39.4.0485
  12. Milhorat TH : Classification of syringomyelia. Neurosurg Focus 8 : E1, 2000
  13. Milhorat TH, Capocelli AL Jr, Anzil AP, Kotzen RM, Milhorat RH : Pathological basis of spinal cord cavitation in syringomyelia : analysis of 105 autopsy cases. J Neurosurg 82 : 802-812, 1995 https://doi.org/10.3171/jns.1995.82.5.0802
  14. Moriwaka F, Tashiro K, Tachibana S, Yada K : [Epidemiology of syringomyelia in Japan--the nationwide survey.] Rinsho Shinkeigaku 35 : 1395-1397, 1995
  15. Palmer JJ : Spinal arachnoid cysts. Report of six cases. J Neurosurg 41 : 728-735, 1974 https://doi.org/10.3171/jns.1974.41.6.0728
  16. Perret G, Green D, Keller J : Diagnosis and treatment of intradural arachnoid cysts of the thoracic spine. Radiology 79 : 425-429, 1962 https://doi.org/10.1148/79.3.425
  17. Stewart DH Jr, Red DE : Spinal arachnoid diverticula. J Neurosurg 35 : 65-70, 1971 https://doi.org/10.3171/jns.1971.35.1.0065
  18. Takeuchi A, Miyamoto K, Sugiyama S, Saitou M, Hosoe H, Shimizu K : Spinal arachnoid cysts associated with syringomyelia : report of two cases and a review of the literature. J Spinal Disord Tech 16 : 207-211, 2003 https://doi.org/10.1097/00024720-200304000-00015
  19. Willems PW, van den Bergh WM, Vandertop WP : An arachnoid cyst presenting as an intramedullary tumour. J Neurol Neurosurg Psychiatry 68 : 508-510, 2000 https://doi.org/10.1136/jnnp.68.4.508
  20. Zuccarello M, Powers G, Tobler WD, Sawaya R, Hakim SZ : Chronic posttraumatic lumbar intradural arachnoid cyst with cauda equina compression : case report. Neurosurgery 20 : 636-638, 1987 https://doi.org/10.1227/00006123-198704000-00024

피인용 문헌

  1. Syringomyelia: A Complication of an Underlying Pathology vol.2, pp.2, 2009, https://doi.org/10.4021/jocmr2010.04.291w
  2. Disproportionately Large Communicating Fourth Ventricle Associated With Syringomyelia and Intradural Arachnoid Cyst in the Spinal Cord Successfully Treated With Additional Shunting vol.52, pp.4, 2009, https://doi.org/10.2176/nmc.52.231
  3. Spinal Extradural Arachnoid Cyst: A Case Report vol.10, pp.1, 2013, https://doi.org/10.14245/kjs.2013.10.1.32
  4. Precise Delivery Into Chronic Spinal Cord Injury Syringomyelic Cysts with Magnetic Nanoparticles MRI Visualization vol.21, pp.None, 2009, https://doi.org/10.12659/msm.895624
  5. Spinal Intradural Arachnoid Cyst complicated with Syringomyelia : Usefulness of Cine Mode MRI for Preoperative Diagnosis vol.25, pp.2, 2009, https://doi.org/10.7887/jcns.25.170
  6. A New Classification for Pathologies of Spinal Meninges-Part 2: Primary and Secondary Intradural Arachnoid Cysts vol.81, pp.2, 2009, https://doi.org/10.1093/neuros/nyx050
  7. Resolution of isolated syringomyelia after removing thoracic disc herniation vol.34, pp.2, 2009, https://doi.org/10.1080/02688697.2018.1424321
  8. Syringopleural shunt placement in a pug with a cervical spinal diverticulum and associated syringomyelia vol.8, pp.7, 2020, https://doi.org/10.1002/ccr3.2845