CLINICAL PRESENTATION OF EPIDURAL DORSAL ARACHNOID CYST AFTER EPIDURAL ANESTHESIA

Global Wound Care Congress

September 12-13, 2016 San Antonio, USA

Garcia Ramos Carla Lisette

National Institute de Rehabilitation, Mexico

Posters & Accepted Abstracts: J Nurs Care

Abstract :

Background: Arachnoid cysts are diverticula with content similar to cerebrospinal fluid. 1% occurs in the spinal cord. They are typically located on the back of the thoracic spinal cord and are a rare cause of spinal cord compression. We present the case of a previously healthy male patient aged 15 years old, who comes to assessment by spastic paraparesis of 20 months duration, which begins after an anesthetic event, this is presented after ankle osteosynthesis. He had low sensitivity and strength of lower limbs, which gradually increases to present anesthesia level to T12 dermatomes L4, L5 and S1 bilateral hypoesthesia and strength 4+/ 5 bilateral, at the root L2 and 2+/5 L3, L4, L5, S1, hyperreflexia, and clonus Babinski, without alterations in the sacral reflexes. Magnetic resonance extradural arachnoid cyst T6 to T9 is diagnosed. Resection of the cyst, close dural defect and laminoplasty was performed Laminotomy T6 to T10. At follow-up of 12 months, the patient recovery of sensitivity, improved muscle strength up to 4+/5 L2 to S1 and normorreflexia was observed. After spinal anesthesia, change in cerebrospinal fluid pressure and expansion of the cyst was observed, which triggered the neurological deficit, making its presence clear. Despite the time that compression is maintained, the patient had a good clinical evolution.

Biography :

Email: carla0608@hotmail.com