An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature - Takeaways - MDSpire

An unusual cause of chronic neuropathic pain: report of a case of multiple intradural spinal arachnoid cysts and review of the literature

  • By

  • Victor Gabriel El-Hajj

  • Erik Edström

  • Adrian Elmi-Terander

  • Alexander Fletcher-Sandersjöö

  • August 1, 2023

  • 0 min

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  • 1

    Spinal arachnoid cysts (SACs) are rare, with intradural types being less common than extradural types, and often present as single lesions.

  • 2

    This case report details a 35-year-old female with multiple recurring intradural SACs, highlighting the challenges in diagnosis and management.

  • 3

    Surgical intervention successfully removed cysts causing significant spinal cord compression, leading to initial symptom improvement.

  • 4

    Despite surgeries, the patient experienced de novo cyst formation and increased cyst size, necessitating conservative management.

  • 5

    Long-term follow-up revealed stable conditions despite worsening imaging findings, emphasizing the unpredictable nature of multiple intradural SACs.

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