Magnetic resonance imaging-guided percutaneous fenestration of a cervical intradural cyst. Case report.

Takahashi, Shinobu; Morikawa, Shigehiro; Egawa, Masaaki; Saruhashi, Yasuo; Matsusue, Yoshitaka · J Neurosurg · 2003

case_report · Level V

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Abstract

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.

Medical subject headings

Anatomy