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Inter-dural spinal cyst with acute thoracic compressive myelopathy: anatomical aspects of spinal dura, case report and literature review.
Ghimire, Prajwal; Perera, Andrea; Lavrador, Jose Pedro; Bodi, Istvan; Jarosz, Jozef; Grahovac, Gordan; Ashkan, Keyoumars.
Afiliación
  • Ghimire P; Department of Neurosurgery, King's College Hospital, London, UK.
  • Perera A; Department of Neurosurgery, King's College Hospital, London, UK.
  • Lavrador JP; Department of Neurosurgery, King's College Hospital, London, UK.
  • Bodi I; Department of Neuropathology, King's College Hospital, London, UK.
  • Jarosz J; Department of Neuroradiology, King's College Hospital, London, UK.
  • Grahovac G; Department of Neurosurgery, King's College Hospital, London, UK.
  • Ashkan K; Department of Neurosurgery, King's College Hospital, London, UK.
Br J Neurosurg ; 37(6): 1567-1571, 2023 Dec.
Article en En | MEDLINE | ID: mdl-33050723
INTRODUCTION: Inter-dural juxta-facet spinal cysts occur rarely. They form as part of the degenerative spinal disease process and can be misdiagnosed as synovial cysts or ganglion cysts. We report the case of a thoracic inter-dural juxta-facet spinal cyst causing acute compressive thoracic myelopathy. METHODS: The data was collected retrospectively from patient records. The literature review was performed in PubMed. RESULTS: We report a case of symptomatic inter-dural juxta-facet thoracic spinal cyst. The literature review showed a variety of different spinal cysts including arachnoid cyst, discal cyst, ganglion cyst, epidermoid cyst and synovial cysts. Micro-instability and repeated microtrauma associated with degenerative changes are most likely contributors to its formation. Asymptomatic cysts can show spontaneous resolution. When symptomatic, they can be managed with surgical excision with good patient outcome. CONCLUSION: Inter-dural spinal cysts can be diagnosed and surgically excised to produce excellent post-operative outcome. High pre-operative index of suspicion of this diagnosis together with good understanding of the intraoperative anatomy are essential to avoid inadvertent dural breach.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Compresión de la Médula Espinal / Quiste Sinovial / Quistes Aracnoideos Límite: Humans Idioma: En Revista: Br J Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Compresión de la Médula Espinal / Quiste Sinovial / Quistes Aracnoideos Límite: Humans Idioma: En Revista: Br J Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido