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Child's Nervous System

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01-03-2019 | Case Report

Huge multiple spinal extradural meningeal cysts in infancy

Authors: Kohei Tsuchimochi, Takato Morioka, Nobuya Murakami, Fumiya Yamashita, Nobuko Kawamura

Published in: Child's Nervous System | Issue 3/2019

Abstract

Background

Multiple spinal extradural meningeal cysts (SEMCs) are rare lesions. SEMCs communicate with the subarachnoid space through multiple dural defects and expand into the extradural space with progressive spinal cord compression.

Case presentation

We report a 5-month-old boy with hydronephrosis involving nine huge SEMCs that were distributed from the T1–L5 levels. Eight SEMCs, except for one small noncommunicating cyst, were exposed through laminoplastic laminotomy at the T10–L5 and T3–5 levels. Five transdural communications with dural defects were packed with a piece of autologous muscle and fibrin glue. Tenting sutures to lift up the dura to the vertebral arch were added to minimize the extradural dead space. Postoperatively, cord compression was relieved and hydronephrosis improved.

Conclusion

In conclusion, packing of all dural defects and dural tenting sutures at a one-staged operation is useful in the surgical management of huge and multiple SEMCs in infancy.

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Title: Huge multiple spinal extradural meningeal cysts in infancy
Authors: Kohei Tsuchimochi
Takato Morioka
Nobuya Murakami
Fumiya Yamashita
Nobuko Kawamura
Publication date: 01-03-2019
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 3/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-4009-1

At a glance: The STEP trials

Springer Medicine

Huge multiple spinal extradural meningeal cysts in infancy

Abstract

Background

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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