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Meningeal Cyst
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Spinal meningeal cyst (MC), arachnoid cyst (AC)
            • Synonyms

              • Dural dissection cyst, intradural dissecting meningocele
            • Definitions

              • Intraspinal extramedullary loculated CSF collection

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Nonvascular Interventions

                      • Ultrasonographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Ball BG et al: Ventral "spinal epidural meningeal cysts"--not epidural and not cysts? Case series and review of the literature. Neurosurgery. 70(2):320-8; discussion 328, 2012
                                                2. Furtado SV et al: Management of complex giant spinal arachnoid cysts presenting with myelopathy. J Neurosurg Spine. 15(1):107-12, 2011
                                                3. Algin O et al: Phase-contrast cine MRI versus MR cisternography on the evaluation of the communication between intraventricular arachnoid cysts and neighbouring cerebrospinal fluid spaces. Neuroradiology. 51(5):305-12, 2009
                                                4. Baba T et al: Pulsatile wall movement of spinal arachnoid cyst deteriorates spinal cord symptoms: report of three cases. Acta Neurochir (Wien). Epub ahead of print, 2009
                                                5. Kim MS et al: Syringomyelia associated with a spinal arachnoid cyst. J Korean Neurosurg Soc. 45(5):315-7, 2009
                                                6. Nottmeier EW et al: Iatrogenic intradural spinal arachnoid cyst as a complication of lumbar spine surgery. J Neurosurg Spine. 11(3):344-6, 2009
                                                7. Wang YF et al: Heavily T2-weighted MR myelography vs CT myelography in spontaneous intracranial hypotension. Neurology. 73(22):1892-8, 2009
                                                8. Takahashi S et al: Magnetic resonance imaging-guided percutaneous fenestration of a cervical intradural cyst. Case report. J Neurosurg. 99(3 Suppl):313-5, 2003
                                                9. Takeuchi A et al: Spinal arachnoid cysts associated with syringomyelia: report of two cases and a review of the literature. J Spinal Disord Tech. 16(2):207-11, 2003
                                                10. Wang MY et al: Intradural spinal arachnoid cysts in adults. Surg Neurol. 60(1):49-55; discussion 55-6, 2003
                                                11. Abou-Fakhr FS et al: Thoracic spinal intradural arachnoid cyst: report of two cases and review of literature. Eur Radiol. 12(4):877-82, 2002
                                                12. Krings T et al: Diagnostic and therapeutic management of spinal arachnoid cysts. Acta Neurochir (Wien). 143(3):227-34; discussion 234-5, 2001
                                                13. Lee HJ et al: Symptomatic spinal intradural arachnoid cysts in the pediatric age group: description of three new cases and review of the literature. Pediatr Neurosurg. 35(4):181-7, 2001
                                                14. Silbergleit R et al: Imaging of spinal intradural arachnoid cysts: MRI, myelography and CT. Neuroradiology. 40(10):664-8, 1998
                                                15. Watters MR et al: Transdural spinal cord herniation: imaging and clinical spectra. AJNR Am J Neuroradiol. 19(7):1337-44, 1998
                                                16. Congia S et al: Myelographic and MRI appearances of a thoracic spinal extradural arachnoid cyst of the spine with extra- and intraspinal extension. Neuroradiology. 34(5):444-6, 1992
                                                17. Rabb CH et al: Spinal arachnoid cysts in the pediatric age group: an association with neural tube defects. J Neurosurg. 77(3):369-72, 1992
                                                18. Dietemann JL et al: Thoracic intradural arachnoid cyst: possible pitfalls with myelo-CT and MR. Neuroradiology. 33(1):90-1, 1991
                                                19. Gindre-Barrucand T et al: Magnetic resonance imaging contribution to the diagnosis of spinal cord compression by a subdural arachnoid cyst. Neuroradiology. 33(1):87-9, 1991
                                                20. Boisserie-Lacroix M et al: The value of MRI in the study of spinal extradural arachnoid cysts. Comput Med Imaging Graph. 14(3):221-3, 1990
                                                21. Sklar E et al: Acquired spinal subarachnoid cysts: evaluation with MR, CT myelography, and intraoperative sonography. AJNR Am J Neuroradiol. 10(5):1097-104, 1989
                                                22. Gray L et al: MR imaging of thoracic extradural arachnoid cysts. J Comput Assist Tomogr. 12(4):646-8, 1988
                                                23. Nabors MW et al: Updated assessment and current classification of spinal meningeal cysts. J Neurosurg. 68(3):366-77, 1988
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Spinal meningeal cyst (MC), arachnoid cyst (AC)
                                                          • Synonyms

                                                            • Dural dissection cyst, intradural dissecting meningocele
                                                          • Definitions

                                                            • Intraspinal extramedullary loculated CSF collection

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Nonvascular Interventions

                                                                    • Ultrasonographic Findings

                                                                      • Imaging Recommendations

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            • Staging, Grading, & Classification

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Ball BG et al: Ventral "spinal epidural meningeal cysts"--not epidural and not cysts? Case series and review of the literature. Neurosurgery. 70(2):320-8; discussion 328, 2012
                                                                                              2. Furtado SV et al: Management of complex giant spinal arachnoid cysts presenting with myelopathy. J Neurosurg Spine. 15(1):107-12, 2011
                                                                                              3. Algin O et al: Phase-contrast cine MRI versus MR cisternography on the evaluation of the communication between intraventricular arachnoid cysts and neighbouring cerebrospinal fluid spaces. Neuroradiology. 51(5):305-12, 2009
                                                                                              4. Baba T et al: Pulsatile wall movement of spinal arachnoid cyst deteriorates spinal cord symptoms: report of three cases. Acta Neurochir (Wien). Epub ahead of print, 2009
                                                                                              5. Kim MS et al: Syringomyelia associated with a spinal arachnoid cyst. J Korean Neurosurg Soc. 45(5):315-7, 2009
                                                                                              6. Nottmeier EW et al: Iatrogenic intradural spinal arachnoid cyst as a complication of lumbar spine surgery. J Neurosurg Spine. 11(3):344-6, 2009
                                                                                              7. Wang YF et al: Heavily T2-weighted MR myelography vs CT myelography in spontaneous intracranial hypotension. Neurology. 73(22):1892-8, 2009
                                                                                              8. Takahashi S et al: Magnetic resonance imaging-guided percutaneous fenestration of a cervical intradural cyst. Case report. J Neurosurg. 99(3 Suppl):313-5, 2003
                                                                                              9. Takeuchi A et al: Spinal arachnoid cysts associated with syringomyelia: report of two cases and a review of the literature. J Spinal Disord Tech. 16(2):207-11, 2003
                                                                                              10. Wang MY et al: Intradural spinal arachnoid cysts in adults. Surg Neurol. 60(1):49-55; discussion 55-6, 2003
                                                                                              11. Abou-Fakhr FS et al: Thoracic spinal intradural arachnoid cyst: report of two cases and review of literature. Eur Radiol. 12(4):877-82, 2002
                                                                                              12. Krings T et al: Diagnostic and therapeutic management of spinal arachnoid cysts. Acta Neurochir (Wien). 143(3):227-34; discussion 234-5, 2001
                                                                                              13. Lee HJ et al: Symptomatic spinal intradural arachnoid cysts in the pediatric age group: description of three new cases and review of the literature. Pediatr Neurosurg. 35(4):181-7, 2001
                                                                                              14. Silbergleit R et al: Imaging of spinal intradural arachnoid cysts: MRI, myelography and CT. Neuroradiology. 40(10):664-8, 1998
                                                                                              15. Watters MR et al: Transdural spinal cord herniation: imaging and clinical spectra. AJNR Am J Neuroradiol. 19(7):1337-44, 1998
                                                                                              16. Congia S et al: Myelographic and MRI appearances of a thoracic spinal extradural arachnoid cyst of the spine with extra- and intraspinal extension. Neuroradiology. 34(5):444-6, 1992
                                                                                              17. Rabb CH et al: Spinal arachnoid cysts in the pediatric age group: an association with neural tube defects. J Neurosurg. 77(3):369-72, 1992
                                                                                              18. Dietemann JL et al: Thoracic intradural arachnoid cyst: possible pitfalls with myelo-CT and MR. Neuroradiology. 33(1):90-1, 1991
                                                                                              19. Gindre-Barrucand T et al: Magnetic resonance imaging contribution to the diagnosis of spinal cord compression by a subdural arachnoid cyst. Neuroradiology. 33(1):87-9, 1991
                                                                                              20. Boisserie-Lacroix M et al: The value of MRI in the study of spinal extradural arachnoid cysts. Comput Med Imaging Graph. 14(3):221-3, 1990
                                                                                              21. Sklar E et al: Acquired spinal subarachnoid cysts: evaluation with MR, CT myelography, and intraoperative sonography. AJNR Am J Neuroradiol. 10(5):1097-104, 1989
                                                                                              22. Gray L et al: MR imaging of thoracic extradural arachnoid cysts. J Comput Assist Tomogr. 12(4):646-8, 1988
                                                                                              23. Nabors MW et al: Updated assessment and current classification of spinal meningeal cysts. J Neurosurg. 68(3):366-77, 1988