Iatrogenic intradural arachnoid cyst following tethered cord release in a child |
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| Affiliation: | 1. Department of Neurosurgery, Rush University Medical Center, 1725 W. Harrison St., Suite 855, Chicago, IL 60612, USA;2. Department of Pathology, Rush University Medical Center, Chicago, IL, USA;1. Ophthalmology, NDMVP Samaj’s Medical College, Nasik, India;2. Rural Medical College, Pravara Institute of Medical Sciences, Loni, MH 413736, India;3. Ophthalmology, Acharya Vinoba Bhave Rural Hospital, Sawangi, India;4. The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA;1. Department of Anatomic Pathology, L25, Cleveland Clinic, 9500 Euclid Avenue, OH 44195, USA;2. Center for Pediatric Neurology, Cleveland Clinic, OH, USA |
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| Abstract: | Iatrogenic arachnoid cysts represent uncommon complications of intradural spinal procedures. Here we present the case of a 7-year-old girl who was found to have a symptomatic, pathologically proven, intradural arachnoid cyst 3 years following tethered cord release. The patient originally presented with abnormal urodynamics testing and was found to have fatty infiltration in her filum terminale. She underwent sectioning of the filum terminale without complications. The patient presented 3 years later with pain and neurogenic claudication. The patient was successfully treated with subarachnoid cyst fenestration with resolution of her bilateral lower extremity pain. Spinal intradural arachnoid cysts represent an important, though rare, postoperative complication of dural opening. |
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| Keywords: | Arachnoid cyst Iatrogenic Intradural Tethered cord |
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