Magnetic resonance imaging-guided percutaneous fenestration of a cervical intradural cyst. Case report.
The authors describe the case of a high cervical, intradural extramedullary cyst located anterior to the spinal cord in a 13-year-old boy. The lesion was fenestrated percutaneously by using real-time magnetic resonance (MR) imaging guidance and a local anesthetic agent. The patient's symptom, severe exercise-induced headache, immediately resolved after treatment. Nine months later, complete disappearance of the cyst was confirmed on MR imaging and computerized tomography myelography. Magnetic resonance imageing-guided fenestration can be considered a minimally invasive option for intradural cystic lesions.
Takahashi
Shinobu
S
Department of Orthopedic Surgery and Molecular Neuroscience Research Center, Shiga University of Medical Science, Shiga, Japan. ts@belle.shiga-med.ac.jp
Morikawa
Shigehiro
S
Egawa
Masaaki
M
Saruhashi
Yasuo
Y
Matsusue
Yoshitaka
Y
D000293:Adolescent; D016080:Arachnoid Cysts / Q000150:complications / Q000473:pathology / Q000601:surgery*; D002574:Cervical Vertebrae; D015444:Exercise; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D013118:Spinal Cord Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*