The sequelae of a neglected thoracolumbar cystic spinal lesion

Large thoracolumbar intradural cystic lesions are rare. The possible diagnosis would be a cystic nerve sheath tumour, dural ectasia or arachnoid cyst. We report the first case of a neglected giant thoracolumbar spinal cystic tumour that had resulted in progressive deleterious spinal column deformity...

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Bibliographic Details
Published in:Neurology Asia 2022-03, Vol.27 (1), p.215-220
Main Authors: Goo, Zhen Qiang, Sockalingam, Sutharshan, Cham, Chun Yoong, Raja Aman, Raja Rizal Azman, Veerakumaran, Jeyaganesh, Ganesan, Dharmendra
Format: Article
Language:English
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Summary:Large thoracolumbar intradural cystic lesions are rare. The possible diagnosis would be a cystic nerve sheath tumour, dural ectasia or arachnoid cyst. We report the first case of a neglected giant thoracolumbar spinal cystic tumour that had resulted in progressive deleterious spinal column deformity due to bony erosion precluding any form of surgical remedy. In the same case, another fatal sequela of a neglected spinal cystic tumour is a spontaneous rupture resulting in an acute hydrocephalus and mortality. This case impresses the natural history of a spinal cystic lesion. The take home point would be these cases need early surgical intervention is indicated to prevent sequelae that has been described.
ISSN:1823-6138
DOI:10.54029/2022yzd