Clinical Profile and Treatment Outcome of Spinal Epidural Arachnoid Cysts: A Systematic Review of Case Studies and Reports
Background A spinal epidural arachnoid cyst (SEAC) is a rare clinical entity. We performed a systematic review of the literature to obtain information regarding demographics, clinical presentation, treatment modalities, and outcome of SEACs. Methods A literature search was performed by us...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-03-01
|
| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731623 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850110179179233280 |
|---|---|
| author | Aditya K. Patil Srikant K. Swain Suresh Sharma Rajnish Kumar Arora Achal Sharma Poonam Arora Radhey S. Mittal |
| author_facet | Aditya K. Patil Srikant K. Swain Suresh Sharma Rajnish Kumar Arora Achal Sharma Poonam Arora Radhey S. Mittal |
| author_sort | Aditya K. Patil |
| collection | DOAJ |
| description | Background A spinal epidural arachnoid cyst (SEAC) is a rare clinical entity. We performed a systematic review of the literature to obtain information regarding demographics, clinical presentation, treatment modalities, and outcome of SEACs.
Methods A literature search was performed by using the databases PubMed/Medline, PubMed Central, Embase, Cochrane Library, Ovid MEDLINE, and Ovid Medline In-Process. A total of 170 articles were found on literature search. We found 575 cases of SEAC since 1904 for inclusion in the review including three cases which were operated by us. We studied the patient characteristics, clinical features, and management strategies, and evaluated their outcome.
Results The average age of presentation was 30 years with a male:female ratio of 1.03:1. They are commonly seen in the thoracic region (42.3%). The length of cyst was more than two vertebral levels in 85.81%. Mean symptom duration was 29 months, with most common presentation being that of compressive myelopathy. A good clinical outcome was present in symptomatic patients who had a shorter symptom duration and underwent complete surgical excision of the SEAC. Age, sex, length of lesion, and presence of dural defect did not have a bearing on the surgical outcome.
Conclusion For thoracic compressive myelopathy in a young patient, SEAC should be kept as a differential diagnosis. Surgical complete excision of the cyst with meticulous closure of the dural defect is the standard in management for a good clinical outcome. |
| format | Article |
| id | doaj-art-47b96c8f72534b328545eb6fd0bb6db5 |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-47b96c8f72534b328545eb6fd0bb6db52025-08-20T02:37:53ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672023-03-01120100300910.1055/s-0041-1731623Clinical Profile and Treatment Outcome of Spinal Epidural Arachnoid Cysts: A Systematic Review of Case Studies and ReportsAditya K. Patil0Srikant K. Swain1Suresh Sharma2Rajnish Kumar Arora3Achal Sharma4Poonam Arora5Radhey S. Mittal6Department of Neurosurgery, All India Institute of Medical Sciences, Dehradun, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Sciences, Dehradun, Uttarakhand, IndiaCollege of Nursing, All India Institute of Medical Sciences, Dehradun, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Sciences, Dehradun, Uttarakhand, IndiaDepartment of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, IndiaDepartment of Emergency Medicine, All India Institute of Medical Sciences, Dehradun, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Sciences, Dehradun, Uttarakhand, IndiaBackground A spinal epidural arachnoid cyst (SEAC) is a rare clinical entity. We performed a systematic review of the literature to obtain information regarding demographics, clinical presentation, treatment modalities, and outcome of SEACs. Methods A literature search was performed by using the databases PubMed/Medline, PubMed Central, Embase, Cochrane Library, Ovid MEDLINE, and Ovid Medline In-Process. A total of 170 articles were found on literature search. We found 575 cases of SEAC since 1904 for inclusion in the review including three cases which were operated by us. We studied the patient characteristics, clinical features, and management strategies, and evaluated their outcome. Results The average age of presentation was 30 years with a male:female ratio of 1.03:1. They are commonly seen in the thoracic region (42.3%). The length of cyst was more than two vertebral levels in 85.81%. Mean symptom duration was 29 months, with most common presentation being that of compressive myelopathy. A good clinical outcome was present in symptomatic patients who had a shorter symptom duration and underwent complete surgical excision of the SEAC. Age, sex, length of lesion, and presence of dural defect did not have a bearing on the surgical outcome. Conclusion For thoracic compressive myelopathy in a young patient, SEAC should be kept as a differential diagnosis. Surgical complete excision of the cyst with meticulous closure of the dural defect is the standard in management for a good clinical outcome.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731623spinal epidural arachnoid cystspinal extraduraldural defect repair |
| spellingShingle | Aditya K. Patil Srikant K. Swain Suresh Sharma Rajnish Kumar Arora Achal Sharma Poonam Arora Radhey S. Mittal Clinical Profile and Treatment Outcome of Spinal Epidural Arachnoid Cysts: A Systematic Review of Case Studies and Reports Indian Journal of Neurosurgery spinal epidural arachnoid cyst spinal extradural dural defect repair |
| title | Clinical Profile and Treatment Outcome of Spinal Epidural Arachnoid Cysts: A Systematic Review of Case Studies and Reports |
| title_full | Clinical Profile and Treatment Outcome of Spinal Epidural Arachnoid Cysts: A Systematic Review of Case Studies and Reports |
| title_fullStr | Clinical Profile and Treatment Outcome of Spinal Epidural Arachnoid Cysts: A Systematic Review of Case Studies and Reports |
| title_full_unstemmed | Clinical Profile and Treatment Outcome of Spinal Epidural Arachnoid Cysts: A Systematic Review of Case Studies and Reports |
| title_short | Clinical Profile and Treatment Outcome of Spinal Epidural Arachnoid Cysts: A Systematic Review of Case Studies and Reports |
| title_sort | clinical profile and treatment outcome of spinal epidural arachnoid cysts a systematic review of case studies and reports |
| topic | spinal epidural arachnoid cyst spinal extradural dural defect repair |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731623 |
| work_keys_str_mv | AT adityakpatil clinicalprofileandtreatmentoutcomeofspinalepiduralarachnoidcystsasystematicreviewofcasestudiesandreports AT srikantkswain clinicalprofileandtreatmentoutcomeofspinalepiduralarachnoidcystsasystematicreviewofcasestudiesandreports AT sureshsharma clinicalprofileandtreatmentoutcomeofspinalepiduralarachnoidcystsasystematicreviewofcasestudiesandreports AT rajnishkumararora clinicalprofileandtreatmentoutcomeofspinalepiduralarachnoidcystsasystematicreviewofcasestudiesandreports AT achalsharma clinicalprofileandtreatmentoutcomeofspinalepiduralarachnoidcystsasystematicreviewofcasestudiesandreports AT poonamarora clinicalprofileandtreatmentoutcomeofspinalepiduralarachnoidcystsasystematicreviewofcasestudiesandreports AT radheysmittal clinicalprofileandtreatmentoutcomeofspinalepiduralarachnoidcystsasystematicreviewofcasestudiesandreports |