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Volume 12, Issue 1 (Winter 2026 2026)
Caspian J Neurol Sci 2026, 12(1): 80-86 |
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Bhuwana Putra M, Muhammad Rosyidi R, Priyanto B, Monica M, Gde Bagus Mahadewa T, Niryana I W, et al . Spinal Epidural Arachnoid Cyst: Case Report and Literature Review. Caspian J Neurol Sci 2026; 12 (1) :80-86
URL: http://cjns.gums.ac.ir/article-1-775-en.html
URL: http://cjns.gums.ac.ir/article-1-775-en.html
Made Bhuwana Putra1 
, Rohadi Muhammad Rosyidi *2 , Bambang Priyanto3 , Maria Monica1 , Tjokorda Gde Bagus Mahadewa1 , I Wayan Niryana1 , Nyoman Golden1 , Sri Maliawan1
, Rohadi Muhammad Rosyidi *2 , Bambang Priyanto3 , Maria Monica1 , Tjokorda Gde Bagus Mahadewa1 , I Wayan Niryana1 , Nyoman Golden1 , Sri Maliawan1
1- Department of Neurosurgery, Faculty of Medicine, Prof. Dr. I. G. N. G. Ngoerah Hospital, Udayana University, Bali, Indonesia
2- Department of Neurosurgery, Faculty of Medicine, Nusa Tenggara Barat Province Hospital, Mataram University, Lombok, Indonesia ,rha.ns2010@gmail.com
3- Department of Neurosurgery, Faculty of Medicine, Nusa Tenggara Barat Province Hospital, Mataram University, Lombok, Indonesia
2- Department of Neurosurgery, Faculty of Medicine, Nusa Tenggara Barat Province Hospital, Mataram University, Lombok, Indonesia ,
3- Department of Neurosurgery, Faculty of Medicine, Nusa Tenggara Barat Province Hospital, Mataram University, Lombok, Indonesia
Abstract: (17 Views)
Background: Spinal epidural arachnoid cysts (SEACs) are rare, accounting for ~1% of all spinal tumors. While often incidental, large cysts may compress nerve roots or the spinal cord, leading to motor or sensory deficits. The etiology and pathophysiology of these conditions remain unclear, and no standardized management guidelines exist. Surgical treatment is indicated for symptomatic cases, with dural defect repair essential to prevent recurrence.
Case Description: A 25-year-old female presented with paraparesis and intermittent leg pain of one month’s duration. Thoracolumbar magnetic resonance imaging revealed a cystic lesion extending from T11 to L1 with T2 hyperintensity similar to cerebrospinal fluid (CSF). She underwent hemilaminectomy with complete cyst resection and dural defect repair. Postoperatively, the patient demonstrated progressive neurological recovery without complications.
Conclusion: SEACs are rare lesions that may cause significant neurological symptoms if untreated. For symptomatic cases, complete cyst excision with dural repair is the preferred management to prevent recurrence and achieve favorable outcomes.
Case Description: A 25-year-old female presented with paraparesis and intermittent leg pain of one month’s duration. Thoracolumbar magnetic resonance imaging revealed a cystic lesion extending from T11 to L1 with T2 hyperintensity similar to cerebrospinal fluid (CSF). She underwent hemilaminectomy with complete cyst resection and dural defect repair. Postoperatively, the patient demonstrated progressive neurological recovery without complications.
Conclusion: SEACs are rare lesions that may cause significant neurological symptoms if untreated. For symptomatic cases, complete cyst excision with dural repair is the preferred management to prevent recurrence and achieve favorable outcomes.
Keywords: Arachnoid cyst, Spinal intradural arachnoid cyst, Spinal cord compression, Spinal cord Neoplasms, Spinal cord diseases
Type of Study: case report |
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Received: 2025/02/4 | Accepted: 2025/11/5 | Published: 2026/01/11
Received: 2025/02/4 | Accepted: 2025/11/5 | Published: 2026/01/11
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