Idiopathic Intradural Extramedullary Arachnoid Cyst and Associated Syringomyelia

L. Moschettoni, D. Lisciani, G. Cacciotti, M. Fraioli
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Abstract

We report a case and discuss clinical features and radiological differential diagnosis of dorsal idiopathic extramedullary arachnoid cyst associated to a caudal syringomyelic cavitation. The aim of this article is to review the current literature on a rare topic as idiopathic intradural extramedullary arachnoid cyst with associated syringomyelia. We emphasize the fact that correct diagnosis and adequate treatment, which we believe is microsurgical fenestration of the cyst into the subarachnoid space, may lead to disappearance of syringomyelia and complete resolution of preoperative spinal cord compression symptoms.
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特发性硬膜内髓外蛛网膜囊肿及相关脊髓空洞
我们报告一个病例,并讨论临床特征和影像学鉴别诊断的背特发性髓外蛛网膜囊肿与尾侧脊髓空洞。本文的目的是回顾目前罕见的特发性硬膜内髓外蛛网膜囊肿伴脊髓空洞的文献。我们强调,正确的诊断和适当的治疗,我们认为是显微手术将囊肿开窗到蛛网膜下腔,可能导致脊髓空洞的消失和术前脊髓压迫症状的完全解决。
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