Transforaminal endoscopic excision of bi-segmental noncommunicating spinal extradural arachnoid cysts:A case report and literature review

作     者：Zhi-He Yun Jun Zhang Jiu-Ping Wu Tong Yu Qin-Yi Liu 

作者机构：Department of OrthopaedicsThe Second Hospital of Jilin UniversityChangchun 130041Jilin ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第31期

页      面：9598-9606页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Supported by the Program of Scientific Development of Jilin Province,China,No.20190201066JC the Health Appropriate Technology Poverty Alleviation Project of Jilin Province China,No.2018FP043 

主　　题：Arachnoid cysts Cerebrospinal fluid Minimally invasive surgical procedures Thoracic surgery Case report 

摘      要：BACKGROUND Spinal extradural arachnoid cysts(SEACs)are a rare cause of spinal cord ***,these cysts communicate with the intradural subarachnoid space through a small defect in the dural *** symptomatic SEACs,the standard treatment is to remove the cyst in total with a(hemi)laminectomy or *** present a rare case of bi-segmental non-communicating SEACs and describe our experience of using an endoscopic minimal access technique to remove bi-segmental non-communicating *** SUMMARY A 79-year-old female presented with pain related to bi-segmental SEACs at the T11-L1 *** underwent sequential transforaminal percutaneous endoscopic thoracic cystectomy of the *** her first procedure,spinal magnetic resonance imaging demonstrated complete excision of the cyst at the T12-L1 ***,the cyst at the T11-T12 segment was still ***,a second procedure was performed to remove this *** patient’s right-sided lumbar and abdominal pain improved significantly *** Japanese Orthopaedic Association score increased from 11 to 25,her visual analogue scale score was reduced from 8 to *** physical and mental component summary of the 36-item short-form health survey(SF-36)were 15.5 and 34.375 preoperatively,and had increased to 79.75 and 77.275 at the last follow-up visit,*** Bi-segmental non-communicating SEACs are extremely *** surgery is a safe,effective,and reliable method for treating these *** the event of bisegmental SEACs,it is important to identify whether both cysts are communicating before surgery,and if not,to remove both cysts separately during the index surgery to avoid re-operation.