CYST EXPANSION IN THE DURAL SAC OF THE CERVICAL SPINAL CORD: A CASE REPORT OF CYST REMOVAL VIA ANTERIOR CERVICAL APPROACH

Hữu Tài Trần, Thanh Tuyền Trần

Main Article Content

Abstract

Subarachnoid cysts within the cervical spinal dura mater are an extremely rare pathology, representing less than 1% of all spinal cord lesions. These cysts can expand via a ball-valve mechanism, leading to gradual compression of the spinal cord. Surgical treatment is indicated in patients with large cysts that cause spinal cord or nerve root compression. While there is agreement on the necessity of either small fenestration or complete cyst removal to alleviate compression, the extent of surgical intervention remains a subject of discussion. This case report presents a large subarachnoid cyst within the cervical spinal dura mater causing compression, which was successfully surgically removed through a minimally invasive anterior cervical approach.

Article Details

References

1. Wang H, et al. Spinal arachnoid cysts: Clinical features and surgical outcomes. Sci Rep. 2020;10(1):17127.
2. Park JH, Kim SW, Kwon JW, et al. The role of surgical intervention in spinal arachnoid cysts with neurological deficits: A multicenter retrospective study. Neurosurgery. 2023;92(1):123-130.
3. Lee C, Choi SW, Oh JK, et al. Surgical outcomes and prognostic factors of spinal arachnoid cysts: A prospective cohort study. European Spine Journal. 2024;33(2):295-303.
4. Kim S, Lee JH, Park YS, et al. Minimally invasive surgery for spinal arachnoid cysts: A case series and literature review. World Neurosurgery, 2021;145:e77–e85.
5. Zhao J, Liu Z, Chen X, et al. Clinical outcomes of surgical treatment for spinal intradural arachnoid cysts: A retrospective study of 30 cases. Journal of Neurosurgery: Spine, 2022;36(3):369–376.
6. Lee C, Choi SW, Oh JK, et al. Surgical outcomes and prognostic factors of spinal arachnoid cysts: A prospective cohort study. European Spine Journal. 2024;33(2):295–303.
7. Park JH, Kim SW, Kwon JW, et al. The role of surgical intervention in spinal arachnoid cysts with neurological deficits: A multicenter retrospective study. Neurosurgery. 2023;92(1):123–130.