Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2021; 9(31): 9598-9606
Published online Nov 6, 2021. doi: 10.12998/wjcc.v9.i31.9598
Transforaminal endoscopic excision of bi-segmental non-communicating spinal extradural arachnoid cysts: A case report and literature review
Zhi-He Yun, Jun Zhang, Jiu-Ping Wu, Tong Yu, Qin-Yi Liu
Zhi-He Yun, Jun Zhang, Jiu-Ping Wu, Tong Yu, Qin-Yi Liu, Department of Orthopaedics, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China
Author contributions: Yun ZH, Zhang J and Liu QY were the patient’s spine surgeons, reviewed the literature and contributed to manuscript drafting; Yun ZH, Wu JP and Yu T were responsible for revision of the manuscript for important intellectual content; Yun ZH analyzed and interpreted the imaging findings; all authors issued final approval for the version to be submitted.
Supported by the Program of Scientific Development of Jilin Province, China, No. 20190201066JC; and the Health Appropriate Technology Poverty Alleviation Project of Jilin Province China, No. 2018FP043.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qin-Yi Liu, MD, Chief Doctor, Professor, Department of Orthopaedics, The Second Hospital of Jilin University, No. 218 Ziqiang Road, Nanguan Street, Changchun 130041, Jilin Province, China. qinyi@jlu.edu.cn
Received: April 18, 2021
Peer-review started: April 18, 2021
First decision: May 24, 2021
Revised: June 6, 2021
Accepted: August 17, 2021
Article in press: August 17, 2021
Published online: November 6, 2021
Core Tip

Core Tip: Spinal extradural arachnoid cysts (SEACs) are a rare cause of spinal cord compression. Typically, these cysts communicate with the intradural subarachnoid space through a small defect in the dural sac. To date, few articles have reported SEACs that are not in direct communication with the subarachnoid space. For symptomatic SEACs, the standard treatment is to remove the cyst in total with a (hemi)laminectomy or laminoplasty. We present a rare case of bi-segmental non-communicating SEACs and describe our experience of using an endoscopic minimal access technique to treat them.