Chronic myelopathy due to a giant spinal arachnoid cyst: a complication of the intrathecal injection of phenol. Case report.

Abstract

Acquired intradural arachnoid cystic lesions of the spine have been associated with trauma, hemorrhage, parasitic infections, and other insults that cause inflammation and subarachnoid adhesions. The authors describe the case of a previously healthy 36-year-old woman who presented with a chronic myelopathy due to the progressive development of a giant spinal arachnoid cyst that resulted after the intrathecal injection of phenol for the management of chronic upper extremity pain. Neurological examination, spinal computed tomography, and magnetic resonance imaging were used for diagnostic and follow-up purposes. Even after the initial excision of the cyst, the patient remained symptomatic with minimal functional recovery.

• Authors: Fred Rincon, J Mocco, Ricardo J Komotar, Alexander G Khandji, Paul C McCormick, Marcelo Olarte
• Journal: Journal of neurosurgery. Spine (J Neurosurg Spine) Vol. 8 Issue 4 Pg. 390-3 (Apr 2008) ISSN: 1547-5654 [Print] United States
• PMID: 18377326 (Publication Type: Case Reports, Journal Article)

Chemical References

• Sclerosing Solutions
• Phenol

Topics

• Adult
• Arachnoid Cysts (diagnosis, etiology, surgery)
• Chronic Disease
• Female
• Humans
• Injections, Spinal (adverse effects)
• Pain (drug therapy)
• Phenol (administration & dosage, adverse effects)
• Sclerosing Solutions (administration & dosage, adverse effects)
• Spinal Cord Diseases (diagnosis, etiology, surgery)