{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:32:14Z","timestamp":1769725934317,"version":"3.49.0"},"reference-count":30,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"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 Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"\n BACKGROUND<\/jats:title>\n Spinal arachnoid cysts can cause myelopathy through spinal cord compression. While MRI is the standard for diagnosis, traditional sequences may not clearly define cyst borders and septations, which are important for guiding surgical intervention. Balanced fast field echo (B-FFE) is an MRI sequence that highlights small arachnoid membranes within and at the borders of CSF spaces.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The authors report the case of a 13-year-old female who presented with progressive lower extremity paresthesias and weakness and urinary incontinence. MRI revealed an intradural cervicothoracic arachnoid cyst (C7\u2013T3) dorsal to the spinal cord. B-FFE was used to identify the upper and lower borders of the intradural arachnoid cyst and its internal septations. These findings corresponded precisely with intraoperative findings and guided fenestration at the cyst's cranial, caudal, and internal septal ends. Postoperatively, the patient\u2019s symptoms resolved, and MRI confirmed the resolution of mass effect. At the 10- and 30-month follow-ups, there was no evidence of cyst recurrence clinically or radiographically.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n The authors raise awareness of the clinical utility of B-FFE imaging for intradural spinal arachnoid cysts. Due to its ability to demonstrate cyst borders and internal septations, it offers an alternative to more invasive tests, especially in the pediatric population.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE25145<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case25145","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T23:49:12Z","timestamp":1756770552000},"source":"Crossref","is-referenced-by-count":0,"title":["Correlation between balanced fast field echo sequence and intraoperative findings in the surgical treatment of an intradural spinal arachnoid cyst: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5214-1321","authenticated-orcid":true,"given":"Audrey","family":"Huang","sequence":"first","affiliation":[{"name":"School of Medicine, New York Medical College, Valhalla, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Dorilio","sequence":"additional","affiliation":[{"name":"School of Medicine, New York Medical College, Valhalla, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasit","family":"Mehta","sequence":"additional","affiliation":[{"name":"School of Medicine, New York Medical College, Valhalla, New York"},{"name":"Division of Neuroradiology, Department of Radiology, Westchester Medical Center, Valhalla, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared M.","family":"Pisapia","sequence":"additional","affiliation":[{"name":"School of Medicine, New York Medical College, Valhalla, New York"},{"name":"Department of Neurosurgery, Westchester Medical Center, Valhalla, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"J Neurosurg Pediatr","first-page":"432","article-title":"Spinal arachnoid cysts in the pediatric population: report of 31 cases and a review of the literature","volume":"9","author":"Bond","year":"2012","unstructured":"Bond AEZada GBowen IMcComb JGKrieger MD.Spinal arachnoid cysts in the pediatric population: report of 31 cases and a review of the literature. J Neurosurg Pediatr. 2012;9(4):432-441."},{"issue":"4","key":"bib2","series-title":"Cleve Clin J Med","first-page":"311","article-title":"A review of spinal arachnoid cysts","volume":"75","author":"Hughes","year":"2008","unstructured":"Hughes GUgokwe KBenzel EC.A review of spinal arachnoid cysts. Cleve Clin J Med. 2008;75(4):311-315."},{"issue":"2","key":"bib3","series-title":"Radiographics","first-page":"470","article-title":"CT myelography: clinical indications and imaging findings","volume":"40","author":"Patel","year":"2020","unstructured":"Patel DMWeinberg BDHoch MJ. CT.CT myelography: clinical indications and imaging findings. Radiographics. 2020;40(2):470-484."},{"issue":"3","key":"bib4","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 EBUpdated assessment and current classification of spinal meningeal cysts. J Neurosurg. 1988;68(3):366-377."},{"key":"bib5","series-title":"Tumors of the Spine","first-page":"71","article-title":"Intradural extramedullary cystic lesions","author":"Koh","year":"2008","unstructured":"Koh JSChang UKKim SHHaddix T. Chapter 5.Intradural extramedullary cystic lesions. In: Kim DH, Chang U-K, Kim S-H, Bilsky MH, eds. Tumors of the Spine. W.B. Saunders; 2008:71-80."},{"key":"bib6","series-title":"World Neurosurg","first-page":"e637","article-title":"Intradural spinal arachnoid cysts in children: a collective experience of 2 centers","volume":"177","author":"Y\u0131lmaz","year":"2023","unstructured":"Y\u0131lmaz EGezer B\u015een HEIntradural spinal arachnoid cysts in children: a collective experience of 2 centers. World Neurosurg. 2023;177:e637-e643."},{"key":"bib7","series-title":"J Clin Neurosci","first-page":"147","article-title":"Idiopathic intradural dorsal thoracic arachnoid cysts: a case series and review of the literature","volume":"40","author":"French","year":"2017","unstructured":"French HSomasundaram ABiggs MIdiopathic intradural dorsal thoracic arachnoid cysts: a case series and review of the literature. J Clin Neurosci. 2017;40:147-152."},{"issue":"6","key":"bib8","series-title":"J Neurosurg Spine","first-page":"711","article-title":"Spinal arachnoid cysts in adults: diagnosis and management. A single-center experience","volume":"29","author":"Fam","year":"2018","unstructured":"Fam MDWoodroffe RWHelland LSpinal arachnoid cysts in adults: diagnosis and management. A single-center experience. J Neurosurg Spine. 2018;29(6):711-719."},{"issue":"5","key":"bib9","series-title":"J Neurosurg Pediatr","first-page":"519","article-title":"Fast dynamic imaging technique to identify obstructive lesions in the CSF space: report of 2 cases","volume":"15","author":"Wang","year":"2015","unstructured":"Wang DDMartin KWAuguste KISun PP.Fast dynamic imaging technique to identify obstructive lesions in the CSF space: report of 2 cases. J Neurosurg Pediatr. 2015;15(5):519-523."},{"issue":"5","key":"bib10","series-title":"Neurosurg Focus","first-page":"E9","article-title":"Acute triventricular hydrocephalus caused by choroid plexus cysts: a diagnostic and neurosurgical challenge","volume":"41","author":"Spennato","year":"2016","unstructured":"Spennato PChiaramonte CCicala DAcute triventricular hydrocephalus caused by choroid plexus cysts: a diagnostic and neurosurgical challenge. Neurosurg Focus. 2016;41(5):E9."},{"issue":"6","key":"bib11","series-title":"J Magn Reson Imaging","first-page":"1300","article-title":"Rapid gradient-echo imaging","volume":"36","author":"Hargreaves","year":"2012","unstructured":"Hargreaves BA.Rapid gradient-echo imaging. J Magn Reson Imaging. 2012;36(6):1300-1313."},{"issue":"1","key":"bib12","series-title":"J Magn Reson Imaging","first-page":"218","article-title":"Dynamic visualization of arachnoid adhesions in a patient with idiopathic syringomyelia using high-resolution cine magnetic resonance imaging at 3T","volume":"32","author":"Gottschalk","year":"2010","unstructured":"Gottschalk ASchmitz BMauer UMDynamic visualization of arachnoid adhesions in a patient with idiopathic syringomyelia using high-resolution cine magnetic resonance imaging at 3T. J Magn Reson Imaging. 2010;32(1):218-222."},{"issue":"1","key":"bib13","series-title":"Neurosurg Rev","first-page":"152","article-title":"Surgical management of syringomyelia associated with spinal arachnoid web: strategies and outcomes","volume":"46","author":"Adib","year":"2023","unstructured":"Adib SDSchittenhelm JKurucz PHauser TKTatagiba M.Surgical management of syringomyelia associated with spinal arachnoid web: strategies and outcomes. Neurosurg Rev. 2023;46(1):152."},{"issue":"12","key":"bib14","series-title":"Eur Radiol","first-page":"2866","article-title":"Fast and ultrafast non-echo-planar MR imaging techniques","volume":"12","author":"Nitz","year":"2002","unstructured":"Nitz WR.Fast and ultrafast non-echo-planar MR imaging techniques. 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J Neurosurg. 1988;68(3):366-377."},{"key":"bib5","series-title":"Tumors of the Spine","first-page":"71","article-title":"Intradural extramedullary cystic lesions","author":"Koh","year":"2008","unstructured":"Koh JSChang UKKim SHHaddix T. Chapter 5.Intradural extramedullary cystic lesions. In: Kim DH, Chang U-K, Kim S-H, Bilsky MH, eds. Tumors of the Spine. W.B. Saunders; 2008:71-80."},{"key":"bib6","series-title":"World Neurosurg","first-page":"e637","article-title":"Intradural spinal arachnoid cysts in children: a collective experience of 2 centers","volume":"177","author":"Y\u0131lmaz","year":"2023","unstructured":"Y\u0131lmaz EGezer B\u015een HEIntradural spinal arachnoid cysts in children: a collective experience of 2 centers. World Neurosurg. 2023;177:e637-e643."},{"key":"bib7","series-title":"J Clin Neurosci","first-page":"147","article-title":"Idiopathic intradural dorsal thoracic arachnoid cysts: a case series and review of the literature","volume":"40","author":"French","year":"2017","unstructured":"French HSomasundaram ABiggs MIdiopathic intradural dorsal thoracic arachnoid cysts: a case series and review of the literature. J Clin Neurosci. 2017;40:147-152."},{"issue":"6","key":"bib8","series-title":"J Neurosurg Spine","first-page":"711","article-title":"Spinal arachnoid cysts in adults: diagnosis and management. A single-center experience","volume":"29","author":"Fam","year":"2018","unstructured":"Fam MDWoodroffe RWHelland LSpinal arachnoid cysts in adults: diagnosis and management. A single-center experience. J Neurosurg Spine. 2018;29(6):711-719."},{"issue":"5","key":"bib9","series-title":"J Neurosurg Pediatr","first-page":"519","article-title":"Fast dynamic imaging technique to identify obstructive lesions in the CSF space: report of 2 cases","volume":"15","author":"Wang","year":"2015","unstructured":"Wang DDMartin KWAuguste KISun PP.Fast dynamic imaging technique to identify obstructive lesions in the CSF space: report of 2 cases. J Neurosurg Pediatr. 2015;15(5):519-523."},{"issue":"5","key":"bib10","series-title":"Neurosurg Focus","first-page":"E9","article-title":"Acute triventricular hydrocephalus caused by choroid plexus cysts: a diagnostic and neurosurgical challenge","volume":"41","author":"Spennato","year":"2016","unstructured":"Spennato PChiaramonte CCicala DAcute triventricular hydrocephalus caused by choroid plexus cysts: a diagnostic and neurosurgical challenge. Neurosurg Focus. 2016;41(5):E9."},{"issue":"6","key":"bib11","series-title":"J Magn Reson Imaging","first-page":"1300","article-title":"Rapid gradient-echo imaging","volume":"36","author":"Hargreaves","year":"2012","unstructured":"Hargreaves BA.Rapid gradient-echo imaging. J Magn Reson Imaging. 2012;36(6):1300-1313."},{"issue":"1","key":"bib12","series-title":"J Magn Reson Imaging","first-page":"218","article-title":"Dynamic visualization of arachnoid adhesions in a patient with idiopathic syringomyelia using high-resolution cine magnetic resonance imaging at 3T","volume":"32","author":"Gottschalk","year":"2010","unstructured":"Gottschalk ASchmitz BMauer UMDynamic visualization of arachnoid adhesions in a patient with idiopathic syringomyelia using high-resolution cine magnetic resonance imaging at 3T. J Magn Reson Imaging. 2010;32(1):218-222."},{"issue":"1","key":"bib13","series-title":"Neurosurg Rev","first-page":"152","article-title":"Surgical management of syringomyelia associated with spinal arachnoid web: strategies and outcomes","volume":"46","author":"Adib","year":"2023","unstructured":"Adib SDSchittenhelm JKurucz PHauser TKTatagiba M.Surgical management of syringomyelia associated with spinal arachnoid web: strategies and outcomes. Neurosurg Rev. 2023;46(1):152."},{"issue":"12","key":"bib14","series-title":"Eur Radiol","first-page":"2866","article-title":"Fast and ultrafast non-echo-planar MR imaging techniques","volume":"12","author":"Nitz","year":"2002","unstructured":"Nitz WR.Fast and ultrafast non-echo-planar MR imaging techniques. Eur Radiol. 2002;12(12):2866-2882."},{"issue":"6","key":"bib15","series-title":"AJR Am J Roentgenol","first-page":"S83","article-title":"Utility of the FIESTA pulse sequence in body oncologic imaging: review","volume":"192","author":"Bhosale","year":"2009","unstructured":"Bhosale PMa JChoi H.Utility of the FIESTA pulse sequence in body oncologic imaging: review. AJR Am J Roentgenol. 2009;192(6)(suppl):S83-S93."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/9\/article-CASE25145.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/9\/article-CASE25145.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/9\/article-CASE25145.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:13:40Z","timestamp":1769685220000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/9\/article-CASE25145.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":30,"journal-issue":{"issue":"9"},"URL":"https:\/\/doi.org\/10.3171\/case25145","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,1]]}}}