INTRODUCTION

Ms K, a 12 year old girl, presented to us with a history of multiple spinal surgeries. At the time she was first seen by us, she had very stiff legs and was carried into the hospital in her mother’s arms. A detailed evaluation was done which revealed an uncommon spinal disorder known as spinal arachnoid cyst. Spinal arachnoid cyst is a disorder due to accumulation of spinal fluid in the form of a cyst which enlarges and causes symptoms by compressing on the adjacent nerves and spinal cord

Patient who underwent the Procedure

Patient who underwent the Procedure

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CASE PRESENTATION

he decision to help her had to be a courageous one since the cyst spanned about 2/3rds the length of her spinal cord! She had already undergone two operations at another centre but the cyst had remained the same
The only option appeared to be a rather difficult one which was to operate and remove the cyst directly but involved a long surgery with plenty of risks The options were discussed with the parents who made a courageous decision to go ahead with a major surgery

Compressed Spinal Cord

Compressed Spinal Cord

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TREATMENT

We decided to offer her a surgical excision of the cyst since that gave her the best chance of a recovery. However the surgery would be a long one and involve bleeding which a child of her age and weight may not have tolerated well

Video Grab of Surgery

A Pre Operative image

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OUTCOME

Six challenging hour later and with the successful meticulous dissection and excision (removal) of the cyst, we all heaved a huge sigh of relief! Today (about 8 months after her surgery) she is able to walk independently and has gone back to attending school full time

Post Operative MRI showing complete removal of cyst

Post Operative MRI showing complete removal of cyst

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Arachnoid cysts are fluid-filled sacs which commonly develop around brain – between the brain and the arachnoid membrane. But in rare cases, these cysts appear in spinal cord and cause spinal cord decompression.

Symptoms of Spinal Arachnoid Cyst include:

  • tingling in legs or arms
  • weakness of limbs
  • difficulty in walking
  • back and leg pain

If you have any of these signs, you need to check with a doctor immediately as these cysts can continue to grow and would lead to other complications. Have any queries? Ask a neurosurgeon or spine surgeon at Sita Bhateja Specialty Hospital – www.sbshospital.com/get-in-touch/






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