Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Aug 25;17(2):389-391.
doi: 10.1055/s-0042-1750813. eCollection 2022 Jun.

Giant Craniospinal Intramedullary Arachnoid Cyst: A Rare Occurrence

Batuk Diyora  1 , Gagan Dhall  1 , Bhagyashri Bhende  1 , Nilesh More  1 , Mazharkhan Mulla  1 , Mayank Vekaria  2
Affiliations

Giant Craniospinal Intramedullary Arachnoid Cyst: A Rare Occurrence

Batuk Diyora et al. Asian J Neurosurg. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Magnetic resonance imaging (MRI) of the craniovertebral junction with cervical spinal (sagittal view) showing well-defined, purely cystic lesion extending from pontomedullary junction to cervical spinal cord up to C7 level. The pontine end appeared bulbous or ice cream on the cone, while the cervicomedullary portion seemed to be pipe-like or cone of ice cream. The lesion also appeared homogenous hypointense on T1-weighted images ( A ), hyperintense on T2-weighted images ( B ), and not enhancing on intravenous gadolinium administration ( C ). MRI high cervical spine axial view showing cystic lesion on T2-weighted images ( D ). Intraoperative photomicrograph showing expanded spinal cord with a surface extending translucent lesion mainly at the cervicomedullary junction ( E ) and decompressed spinal cord with small myelotomy and cysto-subarachnoid shunt at the upper and lower end of the lesion ( F ). Four-year follow-up MRI of the craniovertebral junction with cervical spinal (sagittal view) showing near-complete resolution of lesion on T1-weighted ( G ) and T2-weighted images ( H ). Axial view of the upper cervical spine showing near-complete resolution of lesion on T2-weighted images ( I ).
Fig. 2
Fig. 2
Histopathological examination of the lesion (hematoxylin and eosin stain) showing a thin cyst wall formed of delicate fibrous connective tissue lined by meningothelial cells.
See this image and copyright information in PMC

References

    1. Sharma A, Sayal P, Badhe P, Pandey A, Diyora B, Ingale H. Spinal intramedullary arachnoid cyst. Indian J Pediatr. 2004;71(12):e65–e67. - PubMed
    1. Sharma A, Karande S, Sayal P, Ranadive N, Dwivedi N.Spinal intramedullary arachnoid cyst in a 4-year-old girl: a rare cause of treatable acute quadriparesis: case report J Neurosurg 2005102(4, Suppl):403–406. - PubMed
    1. Novegno F, Umana G, Di Muro L, Fraioli B, Fraioli M F. Spinal intramedullary arachnoid cyst: case report and literature review. Spine J. 2014;14(06):e9–e15. - PubMed
    1. Aithala G R, Sztriha L, Amirlak I, Devadas K, Ohlsson I. Spinal arachnoid cyst with weakness in the limbs and abdominal pain. Pediatr Neurol. 1999;20(02):155–156. - PubMed
    1. Fortuna A, Mercuri S.Intradural spinal cysts Acta Neurochir (Wien) 198368(3-4):289–314. - PubMed