Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment
Autor(a) principal: | |
---|---|
Data de Publicação: | 2005 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000500026 |
Resumo: | Spinal extradural meningeal cysts are typically formed by a thin fibrotic membranous capsule, macroscopically similar that of an arachnoid membrane, filled by cerebro spinal fluid and related to a nerve root or to the posterior midline. Ventral location is extremely rare and when it occurs they usually cause spinal cord herniation through the ventral dural gap. A 61 year-old man who began with a two years long history of insidious tetraparesis, spasticity and hyperreflexia in lower extremities, and flaccid atrophy of upper limbs, without sensory manifestations, is presented. Investigation through magnetic resonance imaging demonstrated an extensive spinal ventral extradural cystic collection from C6 to T11. The lesion was approached through a laminectomy and a cyst-peritoneal shunt was introduced. The cyst reduced in size significantly and the patient is asymptomatic over a 48 months follow-up. This is the first reported case of a spontaneous ventral extradural spinal meningeal cyst causing cord compression. Cyst-peritoneal shunt was effective in the treatment of the case and it should be considered in cases in which complete resection of the cyst is made more difficult or risky by the need of more aggressive surgical maneuvers. |
id |
ABNEURO-1_d6bc969c099e24b0bc061cc79d10b582 |
---|---|
oai_identifier_str |
oai:scielo:S0004-282X2005000500026 |
network_acronym_str |
ABNEURO-1 |
network_name_str |
Arquivos de neuro-psiquiatria (Online) |
repository_id_str |
|
spelling |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatmentmeningeal cystsarachnoid cystsextradural lesionscyst-peritoneal shuntsSpinal extradural meningeal cysts are typically formed by a thin fibrotic membranous capsule, macroscopically similar that of an arachnoid membrane, filled by cerebro spinal fluid and related to a nerve root or to the posterior midline. Ventral location is extremely rare and when it occurs they usually cause spinal cord herniation through the ventral dural gap. A 61 year-old man who began with a two years long history of insidious tetraparesis, spasticity and hyperreflexia in lower extremities, and flaccid atrophy of upper limbs, without sensory manifestations, is presented. Investigation through magnetic resonance imaging demonstrated an extensive spinal ventral extradural cystic collection from C6 to T11. The lesion was approached through a laminectomy and a cyst-peritoneal shunt was introduced. The cyst reduced in size significantly and the patient is asymptomatic over a 48 months follow-up. This is the first reported case of a spontaneous ventral extradural spinal meningeal cyst causing cord compression. Cyst-peritoneal shunt was effective in the treatment of the case and it should be considered in cases in which complete resection of the cyst is made more difficult or risky by the need of more aggressive surgical maneuvers.Academia Brasileira de Neurologia - ABNEURO2005-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000500026Arquivos de Neuro-Psiquiatria v.63 n.3b 2005reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2005000500026info:eu-repo/semantics/openAccessPrevedello,Daniel Monte-SerratTatsui,Cláudio EstevesKoerbel,AndreiGrande,César ViníciusCordeiro,Joacir GraciolliAraújo,João Cândidoeng2006-03-02T00:00:00Zoai:scielo:S0004-282X2005000500026Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2006-03-02T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment |
title |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment |
spellingShingle |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment Prevedello,Daniel Monte-Serrat meningeal cysts arachnoid cysts extradural lesions cyst-peritoneal shunts |
title_short |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment |
title_full |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment |
title_fullStr |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment |
title_full_unstemmed |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment |
title_sort |
Ventral extradural spinal meningeal cyst causing cord compression: neurosurgical treatment |
author |
Prevedello,Daniel Monte-Serrat |
author_facet |
Prevedello,Daniel Monte-Serrat Tatsui,Cláudio Esteves Koerbel,Andrei Grande,César Vinícius Cordeiro,Joacir Graciolli Araújo,João Cândido |
author_role |
author |
author2 |
Tatsui,Cláudio Esteves Koerbel,Andrei Grande,César Vinícius Cordeiro,Joacir Graciolli Araújo,João Cândido |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Prevedello,Daniel Monte-Serrat Tatsui,Cláudio Esteves Koerbel,Andrei Grande,César Vinícius Cordeiro,Joacir Graciolli Araújo,João Cândido |
dc.subject.por.fl_str_mv |
meningeal cysts arachnoid cysts extradural lesions cyst-peritoneal shunts |
topic |
meningeal cysts arachnoid cysts extradural lesions cyst-peritoneal shunts |
description |
Spinal extradural meningeal cysts are typically formed by a thin fibrotic membranous capsule, macroscopically similar that of an arachnoid membrane, filled by cerebro spinal fluid and related to a nerve root or to the posterior midline. Ventral location is extremely rare and when it occurs they usually cause spinal cord herniation through the ventral dural gap. A 61 year-old man who began with a two years long history of insidious tetraparesis, spasticity and hyperreflexia in lower extremities, and flaccid atrophy of upper limbs, without sensory manifestations, is presented. Investigation through magnetic resonance imaging demonstrated an extensive spinal ventral extradural cystic collection from C6 to T11. The lesion was approached through a laminectomy and a cyst-peritoneal shunt was introduced. The cyst reduced in size significantly and the patient is asymptomatic over a 48 months follow-up. This is the first reported case of a spontaneous ventral extradural spinal meningeal cyst causing cord compression. Cyst-peritoneal shunt was effective in the treatment of the case and it should be considered in cases in which complete resection of the cyst is made more difficult or risky by the need of more aggressive surgical maneuvers. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000500026 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000500026 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2005000500026 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.63 n.3b 2005 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
_version_ |
1754212758970171392 |