Información del artículo
Resumen
Los quistes aracnoideos espinales, tanto intradurales como extradurales, son una patología poco común que pueden cursar con afectación radicular o medular.
Presentamos una paciente con un quiste aracnoideo dorso-lumbar, con sintomatología clínica y hallazgos radiológicos superponibles a los dos de un neurinoma. La enferma obtuvo un alivio inmediato del dolor que presentaba tras la cirugía.
Revisamos los conceptos expuestos en la bibliografía sobre la clasificación, etiopatogenia y tratamiento de estas lesiones.
Palabras Clave:
Quistes espinales aracnoideos extradurales
Neurinoma
Summary
The spinal intradural/extradural arachnoid cysts are an uncommon pathology that may cause myelopathy or radiculopathy.
We are reporting the case of a patient with an arachnoid thoraco-lumbar extradural cyst mimicking clinically and radiologically a neurinoma. The patient obtained an immediate relief of the preoperative pain after surgery.
We review the classification, etiology and surgical treatment of these lesions in the neurosurgical literature.
Key Words:
Arachnoid extradural spinal cysts
Neurinoma
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Bibliografía
[1.]
B. Aarabi, G. Pasternak, O. Hurko, D.M. Long.
Familial intradural arachnoid cysts: Report of two cases.
J. Neurosurg., 50 (1979), pp. 826-829
[2.]
C. Alvisi, M. Cerisoli, M. Giuloni, L. Guerra.
Longterm results of surgically treated congenital intradural spinal arachnoid cysts.
J. Neurosurg., 67 (1987), pp. 333-335
[3.]
A.H. Bensaid, J.L. Dietemann, B. Kastler, et al.
Neurofibromatosis with dural ectasia and bilateral symmetrical pedicular clefts: report of two cases.
Neuroradiology, 34 (1992), pp. 107-109
[4.]
R.M. Bergland.
Congenital intraspinal extradural cyst. Report of three cases in one family.
J. Neurosurg., 28 (1968), pp. 495-499
[5.]
M. Clavel, P. Tresserras, R. Dinares.
Megaquistes aracnoideos lumbosacros. Libro Resúmenes de la XLII Reunión de la Sociedad Luso-Española de Neurocirugía.
León, (1991),
[6.]
M. Clavel, H. Sablotnik, P. Clavel.
Quiste gigante sacro familiar. Libro de Resúmenes de la XLVI Reunión de la Sociedad Luso-Española de Neurocirugía.
Algarve, (1995),
[7.]
R.B. Cloward.
Congenital spinal extradural cysts: case report with review of literature.
Ann. Surg., 168 (1968), pp. 851-864
[8.]
K.Y. Chynn.
Congenital spinal extradural cyst in two siblings.
A.J.R., 101 (1967), pp. 204-215
[9.]
B.E. Finneson.
Low Back Pain, pp. 337-342
[10.]
A. Fortuna, E. La Torre, P. Ciappetta.
Arachnoid diverticula: a unitary approach to spinal cysts communicating with the subarachnoid space.
Acta Neurochir (Wien), 39 (1977), pp. 259-268
[11.]
R.J. Galzio, M. Zenobii, D. Lucantoni.
Spinal intradural arachnoid cyst.
Surg. Neurol., 17 (1982), pp. 388-391
[12.]
F. Jensen, V. Knudsen, S. Troelsen.
Recurrent intraspinal arachnoid cyst treated with a shunt procedure.
Acta Nurochir (Wien), 39 (1977), pp. 127-129
[13.]
B.E. Kendall, A.R. Valentine, B. Keis.
Spinal arachnoid cysts: Clinical and radiological correlation with prognosis.
Neuroradiology, 22 (1982), pp. 225-234
[14.]
J.H. Kim, W.A. Shucart, H. Haimovici.
Symptomatic arachnoid diverticula.
Arch. Neurol., 31 (1974), pp. 35-37
[15.]
F. Lesoin, D. Leys, M. Rousseaux, A. Cama, M. Jomin, H. Petit.
Spinal intradural arachnoid cysts.
Acta Neurochir (Wien), 76 (1985), pp. 125-128
[16.]
G. Lombardi, G. Morello.
Congenital cysts of the spinal membranes and roots.
Br. J. Radiol., 36 (1963), pp. 197-205
[17.]
A. Maillo, P. Díaz, I. Onzain, J. Hernández, J. Gómez-Moreta, F. Morales.
Quistes espinales meníngeos extradurales gigantes: Consideraciones etiológicas y quirúrgicas.
Neurocirugía, 1 (1990), pp. 289-292
[18.]
C. McCrum, B. Williams.
Spinal extradural arachnoid pouches. Report of two cases.
J. Neurosurg., 57 (1982), pp. 849-852
[19.]
M.W. Nabors, T.G. Pait, E.B. Byrd, et al.
Updated assessment and current classification of spinal meningeal cysts.
J. Neurosurg., 68 (1988), pp. 366-377
[20.]
T.P. Naidich, D.G. McLone, D.C. Harwood-Nash.
Arachnoid cysts, paravertebral meningoceles, and perineurial cysts.
Computed Tomography of the Spine and the Spinal Cord, pp. 383-396
[21.]
B. Northrup, J.C. Godersky, V.C. Traynelis, R.D. Schelper.
Intradural extramedullary Cysts of the spinal canal: Clinical presentation, radiographic diagnosis, and surgical management.
Neurosurgery, 30 (1992), pp. 42
[22.]
R.K. Osenbach, J.C. Godersky, V.C. Traynelis, R.D. Schelper.
Intradural extramedullary cysts of the spinal canal: Clinical presentation, radiographic diagnosis, and surgical management.
Neurosurgery, 30 (1992), pp. 35-42
[23.]
J.J. Palmer.
Spinal arachnoid cysts.
J. Neurosurg., 41 (1974), pp. 728-735
[24.]
G. Perret, D. Green, J. Keller.
Diagnosis and treatment of intradural arachnoid cysts of the thoracic spine.
Radiology, 79 (1962), pp. 425-429
[25.]
R.E. Pyeritz, E.K. Fishman, B.A. Bernhardt, et al.
Dural ectasia is a common feature of the Marfan syndrome.
Amer. J. Hum. Genet., 43 (1988), pp. 726-732
[26.]
C. Raftopoulos, G.E. Pierard, C. Rétif, et al.
Endoscopic cure of a giant sacral meningocele associated with Marfan's syndrome: a case report.
Neurosurgery, 30 (1992), pp. 765-768
[27.]
M. Robinow, G.F. Johnson, A.D. Verhagen.
Distichiasis- lymphedema. A heritary syndrome of multiple congenital defects.
Amer. J. Dis. Child., 119 (1970), pp. 343-347
[28.]
D.C. Rohrer, K.J. Burchiel, D.P. Gruber.
Intraspinal extradural meningeal cyst demonstrating ball-valve mechanism of formation. Case report.
J. Neurosurg., 78 (1993), pp. 122-125
[29.]
W.I. Schievink, R. Reimer, W.N. Folger.
Surgical treatment of spontaneous intracranial hypotension associated with a spinal arachnoid diverticulum. Case report.
J. Neurosurg., 80 (1994), pp. 736-739
[30.]
J.P. Schwartz, M.S. O'Brien, J.C. Hoffman Jr..
Hereditary spinal arachnoid cysts, distichiasis, and lymphedema.
Ann. Neurol., 7 (1980), pp. 340-343
[31.]
E. Sklar, R.M. Quencer, B.A. Green, B.M. Montalvo, M.J.D. Post.
Acquired spinal subarachnoid cysts: Evaluation with MR, CT myelography, and intraoperative sonography.
A.J.N.R., 10 (1989), pp. 1097-1104
[32.]
D.H. Stewart, D.E. Red.
Spinal arachnoid diverticula.
J. Neurosurg., 35 (1971), pp. 65-70
[33.]
J.M. Taveras, E.H. Wood.
Diseases of the spinal cord.
pp. 1091-1251
[35.]
R.H. Wilkins, G.L. Odom.
Spinal intradural cysts.
pp. 55-102
Clavel Escribano, M.; Clavel Laria, P.: Quiste perineural dorso-lumbar simulando un neurinoma. Neurocirugía 1996; 7: 297–300.
Copyright © 1996. Sociedad Española de Neurocirugía
