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http://dx.doi.org/10.3340/jkns.2009.45.5.315

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)
Publication Information
Journal of Korean Neurosurgical Society / v.45, no.5, 2009 , pp. 315-317 More about this Journal
Abstract
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.
Keywords
Syringomyelia; Arachnoid cyst; Spinal cord neoplasm;
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1 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   DOI   PUBMED
2 Haney A, Stiller J, Zelnik N, Goodwin L : Association of posttraumatic spinal arachnoid cyst and syringomyelia. J Comput Tomogr 9 : 137-140, 1985   DOI   ScienceOn
3 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   DOI   ScienceOn
4 Palmer JJ : Spinal arachnoid cysts. Report of six cases. J Neurosurg 41 : 728-735, 1974   DOI   PUBMED
5 Willems PW, van den Bergh WM, Vandertop WP : An arachnoid cyst presenting as an intramedullary tumour. J Neurol Neurosurg Psychiatry 68 : 508-510, 2000   DOI   ScienceOn
6 Jensen F, Knudsen V, Troelsen S : Recurrent intraspinal arachnoid cyst treated with a shunt procedure. Acta Neurochir (Wien) 39 : 127-129, 1977   DOI   ScienceOn
7 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   DOI   PUBMED   ScienceOn
8 Milhorat TH : Classification of syringomyelia. Neurosurg Focus 8 : E1, 2000   PUBMED
9 Holly LT, Batzdorf U : Syringomyelia associated with intradural arachnoid cysts. J Neurosurg Spine 5 : 111-116, 2006   DOI   ScienceOn
10 Galzio RJ, Zenobii M, Lucantoni D, Cristuib-Grizzi L : Spinal intradural arachnoid cyst. Surg Neurol 17 : 388-391, 1982   DOI   ScienceOn
11 Stewart DH Jr, Red DE : Spinal arachnoid diverticula. J Neurosurg 35 : 65-70, 1971   DOI   PUBMED
12 Perret G, Green D, Keller J : Diagnosis and treatment of intradural arachnoid cysts of the thoracic spine. Radiology 79 : 425-429, 1962   DOI   PUBMED   ScienceOn
13 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   DOI   ScienceOn
14 Chan RC, Thompson GB, Bratty PJ : Symptomatic anterior spinal arachnoid diverticulum. Neurosurgery 16 : 663-665, 1985   DOI   PUBMED
15 Clifton AG, Ginsberg L, Webb WJ, Valentine AR : Idiopathic spinal arachnoid cyst and syringomyelia. Br J Radiol 60 : 1023-1025, 1987   DOI   ScienceOn
16 McLean DR, Miller JD, Allen PB, Ezzeddin SA : Posttraumatic syringomyelia. J Neurosurg 39 : 485-492, 1973   DOI   PUBMED
17 Moriwaka F, Tashiro K, Tachibana S, Yada K : [Epidemiology of syringomyelia in Japan--the nationwide survey.] Rinsho Shinkeigaku 35 : 1395-1397, 1995
18 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   DOI   ScienceOn
19 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   DOI   PUBMED
20 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   DOI   PUBMED