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Case Report:Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele in a child

Case Report:Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele in a child
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摘要 Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele is very rare.We report a case in a 9-year-old Chinese boy who presented with a two-week history of progressive paraparesis and gait ataxia.Magnetic resonance imaging revealed that a dorsal intradural extramedullary cystic lesion extended from T1 to T5 and compressed the spinal cord.A left lateral intrathoracic meningocele pouch was found incidentally at the level of T1.The arachnoid cyst as well as meningocele was removed and the spinal cord compression was relieved.Arachnoid cyst was confirmed by histological examination.The patient recovered well postoperatively.This is the second report of such a case in the world according to the available literature.The take-home message for our case is that the surgical approach should be individualized,depending on the size and location. Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele is very rare.We report a case in a 9-year-old Chinese boy who presented with a two-week history of progressive paraparesis and gait ataxia.Magnetic resonance imaging revealed that a dorsal intradural extramedullary cystic lesion extended from T1 to T5 and compressed the spinal cord.A left lateral intrathoracic meningocele pouch was found incidentally at the level of T1.The arachnoid cyst as well as meningocele was removed and the spinal cord compression was relieved.Arachnoid cyst was confirmed by histological examination.The patient recovered well postoperatively.This is the second report of such a case in the world according to the available literature.The take-home message for our case is that the surgical approach should be individualized,depending on the size and location.
作者 Zheng-xi RAO Jin LI Si-qing HANG Chao YOU
机构地区 Department of Neurosurgery
出处 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2010年第6期429-432,共4页 浙江大学学报（英文版）B辑（生物医学与生物技术）
关键词 Spinal intradural arachnoid cyst Intrathoracic meningocele Spinal cord compression Surgical treatment 关键词针的 intradural 蛛网状的包囊； Intrathoracic 脑脊膜突出；针的绳索压缩；外科的处理
分类号 R744 [医药卫生—神经病学与精神病学]
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参考文献12

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)
2010年 第6期

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