A Case of a Thoracic Spinal Intradural Arachnoid Cyst with Chest Pain.

Kim,  Hyoung Dae; Lee,  Sang Yoon; Jang,  Hyun Sub; Lee,  Yun Jin

Case Report

Journal of the Korean Child Neurology Society 2006;14(1):141-145.
Published online May 30, 2006.

A Case of a Thoracic Spinal Intradural Arachnoid Cyst with Chest Pain.

Hyoung Dae Kim, Sang Yoon Lee, Hyun Sub Jang, Yun Jin Lee

Department of Pediatrics, Dae-Dong Hospital, Busan, Korea. jinnyeye@hanmail.net

Abstract

Spinal arachnoid cysts are relatively uncommon lesions that may be either intradural or extradural, while intradural spinal arachnoid cysts are even less common. The cysts are filled with clear, and colorless fluid nearly identical to cerebrospinal fluid. The origin of these cysts remains unclear although congenital, traumatic, and inflammatory causes have been postulated. These cysts are usually asymptomatic but may produce symptoms by compressing the spinal cord or nerve roots suddenly or progressively. The treatment of choice is surgical excision or fenestration, which is indicated when there are features of cord compression. We report a case of a thoracic spinal intradural arachnoid cyst in 13-year-old girl with chest pain.

Key Words: Spinal arachnoid cyst, Chest pain