Intradural Spinal Arachnoid Cysts in Children: A Collective Experience of 2 Centers

被引:1
作者
Yilmaz, Eren [1 ]
Gezer, Burak [2 ]
Sen, Harun Emre
Gunduz, Busra [1 ]
Etus, Volkan [1 ]
Karabagli, Hakan [2 ]
Karabagli, Pinar [3 ]
机构
[1] Kocaeli Univ, Fac Med, Dept Neurosurg, Kocaeli, Turkiye
[2] Selcuk Univ, Fac Med, Dept Neurosurg, Konya, Turkiye
[3] Selcuk Univ, Fac Med, Dept Pathol, Konya, Turkiye
关键词
Intradural; Pediatric; Spinal arachnoid cysts; Surgical resection; PEDIATRIC AGE GROUP; CORD COMPRESSION; DIAGNOSIS; CLASSIFICATION; SHUNT;
D O I
10.1016/j.wneu.2023.06.115
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
-BACKGROUND: Pediatric intradural spinal arachnoid cysts are rare and can cause spinal cord or nerve root compression. Spinal arachnoid cysts can cause pain, mo-tor/sensory neurological impairments, gait disturbances, spasticity, and bladder problems depending on their loca-tion. This study discusses the clinical aspects, manage-ment, surgical nuances, and postoperative clinical outcomes of symptomatic congenital intradural spinal arachnoid cysts, which are rarely seen in the pediatric population. -METHODS: Our study involves a retrospective evalua-tion of 8 pediatric patients who underwent surgery for spinal intradural arachnoid cysts at the Department of Neurosurgery, Kocaeli University School of Medicine, and the Department of Neurosurgery, Selros University School of Medicine. The demographic data of all patients, preop-erative/postoperative clinical findings, surgical proced- -res, surgical complications, and radiological imaging were evaluated. -RESULTS: The average age of the patients was 8.7 uated. surgicrange:1e17).The female to male ratio was 4:4. The most common complaint was weakness in the lower ex-tremities (87.5%). Urinary problems (50%) and sensory disturbances (50%) were less frequently observed. All pa-tients had dorsal localization of the cysts. Cyst excision was performed in 7 out of 8 patients, and cyst fenestration was performed in 1 patient. Postoperatively, 7 patients showed complete symptom resolution, while one patient had partial improvement. -CONCLUSIONS: The success of surgical treatment de-pends on cyst location, neural tissue compression, and duration of symptoms. Complete removal or fenestration is determined by cyst location and accessibility. Intracystic shunts may be used in certain cases. Timely diagnosis and surgical intervention are crucial for improving neurological function in these rare cases.
引用
收藏
页码:E637 / E643
页数:7
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