{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:11:09Z","timestamp":1790838669833,"version":"4.1.0"},"reference-count":19,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nSpinal extradural arachnoid cysts comprise <1% of all spinal lesions and are rare findings in pediatric patients. The pathogenesis of spinal extradural arachnoid cysts is not well known but is thought to most commonly be due to congenital dural defects. Other origins include trauma, inflammation, or infection, such as arachnoiditis. Spinal magnetic resonance imaging is the gold standard for diagnosis, showing a fluid-filled space dorsal to the spinal cord with signal intensity akin to cerebrospinal fluid (CSF) and often the site of dural defect with CSF leak. While most spinal extradural arachnoid cysts are asymptomatic, large cysts can compress the spinal cord or nerve roots, leading to myelopathy, radiculopathy, or focal pain symptoms. In such cases, surgical management is indicated.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nHere, we present a case of a 15-year-old female who presented with lower back pain radiating to her bilateral posterior thighs and knees, with imaging indicating a thoracolumbar spinal extradural arachnoid cyst. After failed conservative treatment, surgical intervention in the form of laminectomy, fenestration of the arachnoid cyst, and repair of the dural defect was required, resolving the patient\u2019s symptoms with no recurrence of the cyst.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nComplete resolution of pain in our patient following surgical management of spinal arachnoid cyst suggests that treatment of the arachnoid cyst can be achieved through minimal exposure to the site of the CSF leak to fenestrate the cyst and repair the leak.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_27_2024","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T08:31:00Z","timestamp":1712305860000},"page":"123","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Extradural spinal cyst in a pediatric patient: A case report"],"prefix":"10.25259","volume":"15","author":[{"given":"Jessica","family":"Sawaya","sequence":"first","affiliation":[{"name":"School of Medicine, Loma Linda University, Loma Linda, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paras","family":"Savla","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Riverside University Health System, Moreno Valley, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Minasian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Loma Linda University Children\u2019s Hospital, Loma Linda, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,4,5]]},"reference":[{"key":"10.25259\/SNI_27_2024\/ref-1","doi-asserted-by":"crossref","first-page":"355","DOI":"10.3340\/jkns.2013.54.4.355","article-title":"Spinal extradural arachnoid cyst","volume":"54","author":"Choi","year":"2013","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_27_2024\/ref-2","doi-asserted-by":"crossref","first-page":"100995","DOI":"10.1016\/j.inat.2020.100995","article-title":"Extradural arachnoid cyst-case report and literature review","volume":"23","author":"De Oliveira","year":"2021","journal-title":"Interdiscip Neurosurg"},{"key":"10.25259\/SNI_27_2024\/ref-3","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.1007\/s00381-007-0414-6","article-title":"Extradural arachnoid cysts in children","volume":"23","author":"De Oliveira","year":"2007","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_27_2024\/ref-4","doi-asserted-by":"crossref","first-page":"e1146","DOI":"10.1016\/j.wneu.2018.11.005","article-title":"Surgical management of spinal arachnoid cysts in adults","volume":"122","author":"Eroglu","year":"2019","journal-title":"World Neurosurgery"},{"key":"10.25259\/SNI_27_2024\/ref-5","doi-asserted-by":"crossref","first-page":"711","DOI":"10.3171\/2018.5.SPINE1820","article-title":"Spinal arachnoid cysts in adults: Diagnosis and management. A single-center experience","volume":"29","author":"Fam","year":"2018","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_27_2024\/ref-6","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1227\/NEU.0b013e318257bf74","article-title":"Surgical treatment of spinal extradural arachnoid cysts in the thoracolumbar spine","volume":"71","author":"Funao","year":"2012","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_27_2024\/ref-7","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1007\/s00701-012-1356-7","article-title":"What is a reasonable surgical procedure for spinal extradural arachnoid cysts: is cyst removal mandatory? 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