{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:24:40Z","timestamp":1770114280719,"version":"3.49.0"},"reference-count":56,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T00:00:00Z","timestamp":1736121600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,1,6]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The authors report the first case of thoracic interdural spinal cysts presenting as radiculopathy attributed to overdrainage-related cervical venous plexus enlargement. This case emphasizes the importance of considering interdural spinal cysts and cerebrospinal fluid overdrainage in the differential diagnosis of radiculopathy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 37-year-old male patient with a history of orthostatic headache presented with bilateral deltoid muscle atrophy consistent with C5 radiculopathy. Postcontrast magnetic resonance imaging (MRI) revealed cervical epidural venous plexus enlargement and nerve root compression. Thoracic MRI showed an interdural cyst extending from C7 to T11. In addition, a small defect in the inner layer of the dura, which connects the subarachnoid space to the cyst at the T10 level, was detected on thin-slice MRI. Surgery was performed to close the dural defect, with endoscopic assistance facilitating definitive treatment. Postoperative MRI confirmed the resolution of the spinal cyst and epidural venous enlargement. Furthermore, the patient\u2019s symptoms improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Evaluating the cervical spinal pathology is the common approach for cervical radiculopathy. However, in the authors\u2019 case, the presence of thoracic lesions could have been an underlying cause. Hence, identifying this unique clinical presentation can raise awareness among neurosurgeons and lead to better patient outcomes by addressing the underlying pathology in a timely manner.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24533\">https:\/\/thejns.org\/doi\/10.3171\/CASE24533<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24533","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T01:47:02Z","timestamp":1736128022000},"source":"Crossref","is-referenced-by-count":0,"title":["Successful management of interdural spinal cysts presenting as radiculopathy caused by epidural venous enlargement: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Nuradi","family":"Irwan","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Tohoku Medical and Pharmaceutical University, Sendai, Japan;"},{"name":"Department of Neurosurgery, Universitas Padjadjaran, Bandung, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiharu","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Tohoku Medical and Pharmaceutical University, Sendai, Japan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyohei","family":"Saito","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Tohoku Medical and Pharmaceutical University, Sendai, Japan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taketo","family":"Nishizawa","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Tohoku Medical and Pharmaceutical University, Sendai, Japan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Tohoku Medical and Pharmaceutical University, Sendai, Japan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Faried","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Universitas Padjadjaran, Bandung, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiki","family":"Endo","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Tohoku Medical and Pharmaceutical University, Sendai, Japan;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"19","key":"bib1","series-title":"J Neurosurg Case Lessons","first-page":"CASE22198","article-title":"An interdural spinal cyst in the cervicothoracic spine: a review and proposal for a revised classification of spinal meningeal cysts. Illustrative case","volume":"4","author":"Kawasaki","year":"2022","unstructured":"Kawasaki TTakayama MMaki YNakajima KIoroi YKobayashi T. An interdural spinal cyst in the cervicothoracic spine: a review and proposal for a revised classification of spinal meningeal cysts. Illustrative case. J Neurosurg Case Lessons. 2022;4(19):CASE22198."},{"issue":"3","key":"bib2","series-title":"J Neurosurg","first-page":"366","article-title":"Updated assessment and current classification of spinal meningeal cysts","volume":"68","author":"Nabors","year":"1988","unstructured":"Nabors MWPait TGByrd EB, et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg. 1988;68(3):366-377."},{"issue":"1","key":"bib3","series-title":"J Neurosurg Spine","first-page":"73","article-title":"Successful endoscopic identification of the bleeding source in the ventral dura of the cervical spine in a case of superficial siderosis","volume":"33","author":"Sato","year":"2020","unstructured":"Sato YEndo TInoue TFujimura MTominaga T. Successful endoscopic identification of the bleeding source in the ventral dura of the cervical spine in a case of superficial siderosis. J Neurosurg Spine. 2020;33(1):73-76."},{"issue":"1","key":"bib4","series-title":"J Neurosurg Spine","first-page":"96","article-title":"Spinal endoscopy combined with selective CT myelography for dural closure of the spinal dural defect with superficial siderosis: technical note","volume":"28","author":"Arishima","year":"2018","unstructured":"Arishima HHigashino YYamada S, et al. Spinal endoscopy combined with selective CT myelography for dural closure of the spinal dural defect with superficial siderosis: technical note. J Neurosurg Spine. 2018;28(1):96-102."},{"issue":"6","key":"bib5","series-title":"Cureus","first-page":"e4824","article-title":"Traumatic lumbar interdural cyst with intradural expansion and compression of the cauda equina: case report and surgical video","volume":"11","author":"Aoun","year":"2019","unstructured":"Aoun SGPlitt AREl Ahmadieh TYAl Tamimi MWhitworth T. Traumatic lumbar interdural cyst with intradural expansion and compression of the cauda equina: case report and surgical video. Cureus. 2019;11(6):e4824."},{"issue":"2","key":"bib6","series-title":"J Neurosurg","first-page":"351","article-title":"Traumatic interdural arachnoid cyst in the upper cervical spine: case report","volume":"85","author":"Chen","year":"1996","unstructured":"Chen HJChen L. Traumatic interdural arachnoid cyst in the upper cervical spine: case report. J Neurosurg. 1996;85(2):351-353."},{"issue":"3","key":"bib7","series-title":"Neurosurgery","first-page":"287","article-title":"Interdural cyst of the lumbosacral region","volume":"14","author":"Done","year":"1984","unstructured":"Done SLHayman LANew PFJDavis KRChapman PH. Interdural cyst of the lumbosacral region. Neurosurgery. 1984;14(3):287-294."},{"issue":"11","key":"bib8","series-title":"Neurol Med Chir (Tokyo)","first-page":"1035","article-title":"Symptomatic isolated lumbar interdural arachnoid cyst","volume":"50","author":"Lee","year":"2010","unstructured":"Lee JHJung TGKim HSJang JSLee SH. Symptomatic isolated lumbar interdural arachnoid cyst. Neurol Med Chir (Tokyo). 2010;50(11):1035-1038."},{"key":"bib9","series-title":"World Neurosurg","first-page":"688.e9","article-title":"Interdural spinal cyst: a rare clinical entity","volume":"88","author":"Sajjad","year":"2016","unstructured":"Sajjad JYousaf IBermingham NKaar G. Interdural spinal cyst: a rare clinical entity. 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Acta Neurochir (Wien). 2010;152(8):1411-1416."},{"issue":"8","key":"bib14","series-title":"Spine J","first-page":"e16","article-title":"Surgical management of superficial siderosis","volume":"9","author":"Shih","year":"2009","unstructured":"Shih PYang BPBatjer HHLiu JC. Surgical management of superficial siderosis. Spine J. 2009;9(8):e16-e19."},{"key":"bib15","series-title":"Clin Neurol Neurosurg","first-page":"105531","article-title":"Miyazaki syndrome: cervical myelo\/radiculopathy caused by overshunting. A systematic review","volume":"186","author":"V\u00e1rallyay","year":"2019","unstructured":"V\u00e1rallyay PNagy ZSz\u0171cs A, et al. Miyazaki syndrome: cervical myelo\/radiculopathy caused by overshunting. A systematic review. Clin Neurol Neurosurg. 2019;186:105531."},{"issue":"12","key":"bib16","series-title":"Neurology","first-page":"1746","article-title":"The Monro\u2013Kellie hypothesis: applications in CSF volume depletion","volume":"56","author":"Mokri","year":"2001","unstructured":"Mokri B. The Monro\u2013Kellie hypothesis: applications in CSF volume depletion. Neurology. 2001;56(12):1746-1748."},{"issue":"3","key":"bib17","series-title":"Neurol Clin Neurosci","first-page":"230","article-title":"A case of overshunting-associated myelopathy that developed 27 years after placement of a ventriculoperitoneal shunt","volume":"9","author":"Fujimori","year":"2021","unstructured":"Fujimori JKikuchi HKameyama M, et al. A case of overshunting-associated myelopathy that developed 27 years after placement of a ventriculoperitoneal shunt. Neurol Clin Neurosci. 2021;9(3):230-232."},{"issue":"5","key":"bib18","series-title":"Neurol India","first-page":"1238","article-title":"Spinal epidural venous plexus enlargement as a cause of neurologic symptoms: vascular anatomy and MRI findings","volume":"68","author":"Wnuk","year":"2020","unstructured":"Wnuk EMaj EDziedzic TPodlecka Pi\u0119towska A. Spinal epidural venous plexus enlargement as a cause of neurologic symptoms: vascular anatomy and MRI findings. Neurol India. 2020;68(5):1238-1241."},{"issue":"2","key":"bib19","series-title":"Indian J Radiol Imaging","first-page":"90","article-title":"Applications of 3D CISS sequence for problem solving in neuroimaging","volume":"21","author":"Hingwala","year":"2011","unstructured":"Hingwala DChatterjee SKesavadas CThomas BKapilamoorthyTR. Applications of 3D CISS sequence for problem solving in neuroimaging. Indian J Radiol Imaging. 2011;21(2):90-97."},{"key":"bib20","series-title":"J Neurol Sci","first-page":"38","article-title":"Superficial siderosis associated with duplicated dura mater detected by CISS reverse MRI","volume":"392","author":"Hosokawa","year":"2018","unstructured":"Hosokawa MMurata KYHironishi M, et al. Superficial siderosis associated with duplicated dura mater detected by CISS reverse MRI. J Neurol Sci. 2018;392:38-43."},{"issue":"4","key":"bib21","series-title":"J Neurosurg Spine","first-page":"388","article-title":"Dural closure for the treatment of superficial siderosis: report of 2 cases","volume":"18","author":"Egawa","year":"2013","unstructured":"Egawa SYoshii TSakaki K, et al. Dural closure for the treatment of superficial siderosis: report of 2 cases. J Neurosurg Spine. 2013;18(4):388-393."},{"issue":"7","key":"bib22","series-title":"Neurology","first-page":"671","article-title":"Superficial siderosis: sealing the defect","volume":"72","author":"Kumar","year":"2009","unstructured":"Kumar NLane JIPiepgras DG. Superficial siderosis: sealing the defect. Neurology. 2009;72(7):671-673."},{"issue":"1","key":"bib23","series-title":"Neurosurgery","first-page":"38","article-title":"SPORT: does incidental durotomy affect long-term outcomes in cases of spinal stenosis?","volume":"69","author":"Desai","year":"2011","unstructured":"Desai ABall PABekelis K, et al. SPORT: does incidental durotomy affect long-term outcomes in cases of spinal stenosis? Neurosurgery. 2011;69(1):38-44."},{"issue":"5","key":"bib24","series-title":"Spine","first-page":"406","article-title":"Surgery for lumbar degenerative spondylolisthesis in spine patient outcomes research trial: does incidental durotomy affect outcome?","volume":"37","author":"Desai","year":"2012","unstructured":"Desai ABall PABekelis K, et al. Surgery for lumbar degenerative spondylolisthesis in spine patient outcomes research trial: does incidental durotomy affect outcome? Spine. 2012;37(5):406-413."},{"issue":"2","key":"bib25","series-title":"Chin J Traumatol","first-page":"81","article-title":"Treatment of cerebrospinal fluid leak after spine surgery","volume":"20","author":"Fang","year":"2017","unstructured":"Fang ZTian RJia YTXu TTLiu Y. Treatment of cerebrospinal fluid leak after spine surgery. Chin J Traumatol. 2017;20(2):81-83."},{"issue":"6","key":"bib26","series-title":"J Neurosurg Spine","first-page":"641","article-title":"Surgical treatment of spinal intradural arachnoid cysts using endoscopy: clinical article","volume":"12","author":"Endo","year":"2010","unstructured":"Endo TTakahashi TJokura HTominaga T. Surgical treatment of spinal intradural arachnoid cysts using endoscopy: clinical article. J Neurosurg Spine. 2010;12(6):641-646."},{"key":"bib27","series-title":"World Neurosurg","first-page":"814.e1","article-title":"Use of indocyanine green fluorescence endoscopy to treat concurrent perimedullary and dural arteriovenous fistulas in the cervical spine","volume":"101","author":"Ito","year":"2017","unstructured":"Ito AEndo TInoue TEndo HSato KTominaga T. Use of indocyanine green fluorescence endoscopy to treat concurrent perimedullary and dural arteriovenous fistulas in the cervical spine. World Neurosurg. 2017;101:814.e1-814.e6."},{"issue":"6","key":"bib28","series-title":"Neurosurg Focus","first-page":"E5","article-title":"Neuroendoscopy for spinal disorders: a brief review","volume":"19","author":"Baron","year":"2005","unstructured":"Baron EMLevene HBHeller JEJallo JILoftus CMDominique DA. Neuroendoscopy for spinal disorders: a brief review. Neurosurg Focus. 2005;19(6):E5."},{"issue":"19","key":"bib1","series-title":"J Neurosurg Case Lessons","first-page":"CASE22198","article-title":"An interdural spinal cyst in the cervicothoracic spine: a review and proposal for a revised classification of spinal meningeal cysts. Illustrative case","volume":"4","author":"Kawasaki","year":"2022","unstructured":"Kawasaki TTakayama MMaki YNakajima KIoroi YKobayashi T. An interdural spinal cyst in the cervicothoracic spine: a review and proposal for a revised classification of spinal meningeal cysts. Illustrative case. J Neurosurg Case Lessons. 2022;4(19):CASE22198."},{"issue":"3","key":"bib2","series-title":"J Neurosurg","first-page":"366","article-title":"Updated assessment and current classification of spinal meningeal cysts","volume":"68","author":"Nabors","year":"1988","unstructured":"Nabors MWPait TGByrd EB, et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg. 1988;68(3):366-377."},{"issue":"1","key":"bib3","series-title":"J Neurosurg Spine","first-page":"73","article-title":"Successful endoscopic identification of the bleeding source in the ventral dura of the cervical spine in a case of superficial siderosis","volume":"33","author":"Sato","year":"2020","unstructured":"Sato YEndo TInoue TFujimura MTominaga T. Successful endoscopic identification of the bleeding source in the ventral dura of the cervical spine in a case of superficial siderosis. J Neurosurg Spine. 2020;33(1):73-76."},{"issue":"1","key":"bib4","series-title":"J Neurosurg Spine","first-page":"96","article-title":"Spinal endoscopy combined with selective CT myelography for dural closure of the spinal dural defect with superficial siderosis: technical note","volume":"28","author":"Arishima","year":"2018","unstructured":"Arishima HHigashino YYamada S, et al. Spinal endoscopy combined with selective CT myelography for dural closure of the spinal dural defect with superficial siderosis: technical note. J Neurosurg Spine. 2018;28(1):96-102."},{"issue":"6","key":"bib5","series-title":"Cureus","first-page":"e4824","article-title":"Traumatic lumbar interdural cyst with intradural expansion and compression of the cauda equina: case report and surgical video","volume":"11","author":"Aoun","year":"2019","unstructured":"Aoun SGPlitt AREl Ahmadieh TYAl Tamimi MWhitworth T. Traumatic lumbar interdural cyst with intradural expansion and compression of the cauda equina: case report and surgical video. Cureus. 2019;11(6):e4824."},{"issue":"2","key":"bib6","series-title":"J Neurosurg","first-page":"351","article-title":"Traumatic interdural arachnoid cyst in the upper cervical spine: case report","volume":"85","author":"Chen","year":"1996","unstructured":"Chen HJChen L. Traumatic interdural arachnoid cyst in the upper cervical spine: case report. J Neurosurg. 1996;85(2):351-353."},{"issue":"3","key":"bib7","series-title":"Neurosurgery","first-page":"287","article-title":"Interdural cyst of the lumbosacral region","volume":"14","author":"Done","year":"1984","unstructured":"Done SLHayman LANew PFJDavis KRChapman PH. Interdural cyst of the lumbosacral region. Neurosurgery. 1984;14(3):287-294."},{"issue":"11","key":"bib8","series-title":"Neurol Med Chir (Tokyo)","first-page":"1035","article-title":"Symptomatic isolated lumbar interdural arachnoid cyst","volume":"50","author":"Lee","year":"2010","unstructured":"Lee JHJung TGKim HSJang JSLee SH. Symptomatic isolated lumbar interdural arachnoid cyst. Neurol Med Chir (Tokyo). 2010;50(11):1035-1038."},{"key":"bib9","series-title":"World Neurosurg","first-page":"688.e9","article-title":"Interdural spinal cyst: a rare clinical entity","volume":"88","author":"Sajjad","year":"2016","unstructured":"Sajjad JYousaf IBermingham NKaar G. Interdural spinal cyst: a rare clinical entity. World Neurosurg. 2016;88:688.e9-688.e12."},{"issue":"13","key":"bib10","series-title":"World J Clin Cases","first-page":"2903","article-title":"Clinical management of dural defects: a review","volume":"11","author":"Dong","year":"2023","unstructured":"Dong RPZhang QYang LLCheng XLZhao JW. Clinical management of dural defects: a review. World J Clin Cases. 2023;11(13):2903-2915."},{"issue":"16","key":"bib11","series-title":"Neurology","first-page":"1439","article-title":"Ventral intraspinal fluid-filled collection secondary to CSF leak presenting as bibrachial amyotrophy","volume":"76","author":"DeLuca","year":"2011","unstructured":"DeLuca GCBoes CJKrueger BRMokri BKumar N. Ventral intraspinal fluid-filled collection secondary to CSF leak presenting as bibrachial amyotrophy. Neurology. 2011;76(16):1439-1440."},{"issue":"24","key":"bib12","series-title":"Neurology","first-page":"1992","article-title":"Beyond superficial siderosis: introducing \u201cduropathies.\u201d","volume":"78","author":"Kumar","year":"2012","unstructured":"Kumar N. Beyond superficial siderosis: introducing \u201cduropathies.\u201d Neurology. 2012;78(24):1992-1999."},{"issue":"8","key":"bib13","series-title":"Acta Neurochir (Wien)","first-page":"1411","article-title":"Superficial siderosis of the central nervous system: secondary progression despite successful surgical treatment, mimicking amyotrophic lateral sclerosis. Case report and review","volume":"152","author":"Payer","year":"2010","unstructured":"Payer MSottas CBonvin C. Superficial siderosis of the central nervous system: secondary progression despite successful surgical treatment, mimicking amyotrophic lateral sclerosis. Case report and review. Acta Neurochir (Wien). 2010;152(8):1411-1416."},{"issue":"8","key":"bib14","series-title":"Spine J","first-page":"e16","article-title":"Surgical management of superficial siderosis","volume":"9","author":"Shih","year":"2009","unstructured":"Shih PYang BPBatjer HHLiu JC. Surgical management of superficial siderosis. 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