{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:34:56Z","timestamp":1753893296684,"version":"3.41.2"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:00:00Z","timestamp":1688342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Spinal arachnoid cysts are relatively uncommon, cerebrospinal fluid-filled sacs formed by arachnoid membranes that can be either idiopathic or acquired. The neurological presentation of these cysts is varied. Advances in imaging techniques have allowed an improved characterization of these entities and excluded other possible causes of clinical manifestation. Their presentation remains varied, ranging from pain to progressive neurological deficits. Here, we present two cases of patients with thoracic arachnoid cysts that posed a diagnostic dilemma at initial presentation because of their acute neurological deficit, and their eventual recovery after surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case description<\/jats:title><jats:p>The first case is of a patient with end-stage renal failure, which prevented the administration of contrast during the workup. The differential diagnosis ranged from intradural abscess to arachnoid cyst. The second patient presented with non-remitting back pain that progressed to an acute neurological deficit. Both patients recovered well after decompression of the cyst.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The decision to intervene is still patient-dependent and based on the extent of neurological deterioration at the time of presentation due to the relatively benign nature and lack of understanding of the temporal presentation of neurological symptoms, which are rapidly and almost completely reversed after surgery. However, further studies need to be done to understand the acute presentation of these cysts, which are apparently long-standing.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2023.1092345","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T06:16:06Z","timestamp":1688364966000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic dilemma in acute neurological presentation of spinal arachnoid cysts: A case report"],"prefix":"10.3389","volume":"10","author":[{"given":"Swati","family":"Jain","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ira","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boon Chuan","family":"Pang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Lone","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiong Wen","family":"Low","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,3]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1080\/02688697.2016.1229747","article-title":"Spinal arachnoid cysts \u2013 our experience and review of literature","volume":"31","author":"Garg","year":"2017","journal-title":"Br J Neurosurg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1016\/j.jocn.2010.11.023","article-title":"Spinal arachnoid cyst","volume":"18","author":"Kumar","year":"2011","journal-title":"J Clin Neurosci"},{"key":"B3","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1111\/1754-9485.12470","article-title":"Radiological diagnosis of spinal arachnoid cysts: a pictorial essay","volume":"60","author":"Ospina Moreno","year":"2016","journal-title":"J Med Imaging Radiat Oncol"},{"key":"B4","doi-asserted-by":"publisher","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 Neurosurg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"679","DOI":"10.3109\/02688697.2010.504052","article-title":"Intra-dural spinal arachnoid cysts: a short series of 10 patients","volume":"24","author":"Mohindra","year":"2010","journal-title":"Br J Neurosurg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.wneu.2017.05.136","article-title":"Clinical and radiologic outcomes after fenestration and partial wall excision of idiopathic intradural spinal arachnoid cysts presenting with myelopathy","volume":"105","author":"Viswanathan","year":"2017","journal-title":"World Neurosurg"},{"key":"B7","doi-asserted-by":"publisher","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":"B8","doi-asserted-by":"publisher","first-page":"366","DOI":"10.3171\/jns.1988.68.3.0366","article-title":"Updated assessment and current classification of spinal meningeal cysts","volume":"68","author":"Nabors","year":"1988","journal-title":"J Neurosurg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/j.jocn.2017.02.051","article-title":"Idiopathic intradural dorsal thoracic arachnoid cysts: a case series and review of the literature","volume":"40","author":"French","year":"2017","journal-title":"J Clin Neurosci"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/02688697.2019.1668541","article-title":"Spinal intradural arachnoid cyst as a complication of insertion of an interspinous device","volume":"13","author":"Lee","year":"2019","journal-title":"Br J Neurosurg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/02688697.2019.1666087","article-title":"Spinal intradural arachnoid cyst associated with diastematomyelia in an adult: a case report and review of literature","author":"Patankar","year":"2019","journal-title":"Br J Neurosurg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1352","DOI":"10.1227\/01.NEU.0000143031.98237.6D","article-title":"Spinal intradural juxtamedullary cysts in the adult: surgical management and outcome","volume":"55","author":"Bassiouni","year":"2004","journal-title":"Neurosurgery"},{"key":"B13","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/S0272-6386(89)80042-3","article-title":"Intracranial pressure measurement in a patient undergoing hemodialysis and peritoneal dialysis","volume":"13","author":"Krane","year":"1989","journal-title":"Am J Kidney Dis"},{"key":"B14","first-page":"569","article-title":"Elevation of intracranial pressure during hemodialysis\u2013continuous measurement of cerebrospinal fluid pressure in a patient with acoustic neurinoma","volume":"42","author":"Kurokawa","year":"1990","journal-title":"No to Shinkei"},{"key":"B15","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1093\/ndt\/gfw015","article-title":"Increased risk of hydrocephalus in long-term dialysis patients","volume":"31","author":"Wang","year":"2016","journal-title":"Nephrol Dial Transplant"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1002","DOI":"10.5137\/1019-5149.JTN.37597-22.2","article-title":"Surgical treatment of spinal arachnoid cysts: cyst excision or fenestration?","volume":"32","author":"Ramazanoglu","year":"2022","journal-title":"Turk Neurosurg"},{"key":"B17","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.neucir.2019.12.001","article-title":"Spinal arachnoid cyst and neurosurgery","volume":"31","author":"Rom\u00e1n-Pena","year":"2020","journal-title":"Neurocirugia (English Edition)"},{"key":"B18","doi-asserted-by":"publisher","first-page":"405","DOI":"10.25259\/SNI_579_2020","article-title":"Diagnosis and treatment of noncommunicating extradural spinal thoracolumbar arachnoid cyst","volume":"11","author":"Khan","year":"2020","journal-title":"Surg Neurol Int"},{"key":"B19","doi-asserted-by":"publisher","first-page":"S124","DOI":"10.1007\/s00586-009-1156-9","article-title":"Spinal cord compression caused by idiopathic intradural arachnoid cysts of the spine: review of the literature and illustrated case","volume":"19","author":"Petridis","year":"2010","journal-title":"Eur Spine J"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2023.1092345\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T06:16:09Z","timestamp":1688364969000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2023.1092345\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,3]]},"references-count":19,"alternative-id":["10.3389\/fsurg.2023.1092345"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2023.1092345","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2023,7,3]]},"article-number":"1092345"}}