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Erschienen in: Neurological Sciences 6/2019

21.02.2019 | Quiz Cases

A rare cause of Horner’s syndrome: cervicothoracic spinal root cysts

verfasst von: Dilek Top Karti, Omer Karti, Nese Celebisoy

Erschienen in: Neurological Sciences | Ausgabe 6/2019

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Abstract

Objection

We herein report cervicothoracic spinal root cysts as a rare cause of Horner’s syndrome.

Case report

A 62-year-old woman was admitted to our neuro-ophthalmology clinic complaining of drooping of her right upper eyelid. The history, physical examination, and laboratory tests were normal. The extraocular movements were full. The right eyelid was ptotic and the right pupil was smaller than the left. Right Horner’s syndrome was diagnosed by the neuro-ophthalmologic examination and pharmacological tests. Cervical magnetic resonance imaging showed multiple spinal nerve root cysts between C7 and T1 segments of the spinal cord.

Conclusion

This report showed for the first time that cervicothoracic spinal root cysts could cause Horner’s syndrome and should be kept in mind in performing neuroimaging studies.
Literatur
3.
Zurück zum Zitat Tarlov IM (1938) Perineural cysts of the spinal nerve roots. Arch Neurol Psychiatr 40:1067–1074CrossRef Tarlov IM (1938) Perineural cysts of the spinal nerve roots. Arch Neurol Psychiatr 40:1067–1074CrossRef
4.
Zurück zum Zitat Burke JF, Thawani JP, Berger I, Nayak NR, Stephen JH, Farkas T et al (2016) Microsurgical treatment of sacral perineural (Tarlov) cysts: case series and review of the literature. J Neurosurg Spine 24:700–707CrossRefPubMed Burke JF, Thawani JP, Berger I, Nayak NR, Stephen JH, Farkas T et al (2016) Microsurgical treatment of sacral perineural (Tarlov) cysts: case series and review of the literature. J Neurosurg Spine 24:700–707CrossRefPubMed
5.
Zurück zum Zitat Rodziewicz GS, Kaufman B, Spetzler RF (1984) Diagnosis of sacral perineural cysts by nuclear magnetic resonance. Surg Neurol 22:50–52CrossRefPubMed Rodziewicz GS, Kaufman B, Spetzler RF (1984) Diagnosis of sacral perineural cysts by nuclear magnetic resonance. Surg Neurol 22:50–52CrossRefPubMed
6.
Zurück zum Zitat Aljuboori Z, Yaseen A, Simpson J, Boakye M (2017) Surgical excision of a symptomatic thoracic nerve root perineural cyst resulting in complete resolution of symptoms: a case report. Cureus 9:e1343PubMedPubMedCentral Aljuboori Z, Yaseen A, Simpson J, Boakye M (2017) Surgical excision of a symptomatic thoracic nerve root perineural cyst resulting in complete resolution of symptoms: a case report. Cureus 9:e1343PubMedPubMedCentral
7.
Zurück zum Zitat Zibis AH, Fyllos AH, Arvanitis DL (2015) Symptomatic cervical perineural (Tarlov) cyst: a case report. Hippokratia 19(1):76–77PubMedPubMedCentral Zibis AH, Fyllos AH, Arvanitis DL (2015) Symptomatic cervical perineural (Tarlov) cyst: a case report. Hippokratia 19(1):76–77PubMedPubMedCentral
8.
Zurück zum Zitat Bayrakli F, Kurtuncu M, Karaarslan E, Ozgen S (2012) Perineural cyst presenting like cubital tunnel syndrome. Eur Spine J 21:S387–S389CrossRefPubMed Bayrakli F, Kurtuncu M, Karaarslan E, Ozgen S (2012) Perineural cyst presenting like cubital tunnel syndrome. Eur Spine J 21:S387–S389CrossRefPubMed
9.
Zurück zum Zitat Poshi VP, Zanwar A, Karande A, Agrawal A (2014) Cervical perineural cyst masquerading as a cervical spinal tumor. Asian Spine J 8:202–205CrossRef Poshi VP, Zanwar A, Karande A, Agrawal A (2014) Cervical perineural cyst masquerading as a cervical spinal tumor. Asian Spine J 8:202–205CrossRef
10.
Zurück zum Zitat Gossner J (2018) High prevalence of cervical perineural cysts on cervical spine MRI. Int J Anat Var 11:18–19 Gossner J (2018) High prevalence of cervical perineural cysts on cervical spine MRI. Int J Anat Var 11:18–19
11.
Zurück zum Zitat Tarlov IM (1970) Spinal perineurial and meningeal cysts. J Neural Neurosurg Psychiatry 33:833–843CrossRef Tarlov IM (1970) Spinal perineurial and meningeal cysts. J Neural Neurosurg Psychiatry 33:833–843CrossRef
12.
13.
Zurück zum Zitat Fortuna A, La Torre E, Ciappetta P (1977) Arachnoid diverticula: a unitary approach to spinal cysts communicating with the subarachnoid space. Acta Neurochir 39:259–268CrossRefPubMed Fortuna A, La Torre E, Ciappetta P (1977) Arachnoid diverticula: a unitary approach to spinal cysts communicating with the subarachnoid space. Acta Neurochir 39:259–268CrossRefPubMed
14.
Zurück zum Zitat Mummaneni PV, Pitts LH, McCormack BM, Corroo JM, Weinstein PR (2000) Microsurgical treatment of symptomatic Tarlov cysts. Neurosurgery. 47:74–78 discussion 78–79PubMed Mummaneni PV, Pitts LH, McCormack BM, Corroo JM, Weinstein PR (2000) Microsurgical treatment of symptomatic Tarlov cysts. Neurosurgery. 47:74–78 discussion 78–79PubMed
15.
Zurück zum Zitat Rexed BA, Wennstrom KG (1959) Arachnoidal proliferations and cystic formation in the spinal nerve-root pouches of man. J Neurosurg 16:73–84CrossRefPubMed Rexed BA, Wennstrom KG (1959) Arachnoidal proliferations and cystic formation in the spinal nerve-root pouches of man. J Neurosurg 16:73–84CrossRefPubMed
16.
Zurück zum Zitat Voyadzis JM, Bhargava P, Henderson FC (2001) Tarlov cysts : a study of 10 cases with review of the literature. J Neurosurg 95:25–32PubMed Voyadzis JM, Bhargava P, Henderson FC (2001) Tarlov cysts : a study of 10 cases with review of the literature. J Neurosurg 95:25–32PubMed
17.
Zurück zum Zitat Kato T, Takamura H, Goto S, Sasaki H, Makino K, Ozaki N, Hodozuka A (1988) Sacral perineural cyst–report of a case. No Shinkei Geka- Neurol Surg 16:893–897 Kato T, Takamura H, Goto S, Sasaki H, Makino K, Ozaki N, Hodozuka A (1988) Sacral perineural cyst–report of a case. No Shinkei Geka- Neurol Surg 16:893–897
18.
Zurück zum Zitat Kim K, Chun SW, Chung SG (2012) A case of symptomatic cervical perineural (Tarlov) cyst: clinical manifestation and management. Skelet Radiol 41:97–101CrossRef Kim K, Chun SW, Chung SG (2012) A case of symptomatic cervical perineural (Tarlov) cyst: clinical manifestation and management. Skelet Radiol 41:97–101CrossRef
19.
Zurück zum Zitat Mitra R, Kirpalani D, Wedemeyer M (2008) Conservative management of perineural cysts. Spine (Phila Pa 1976) 33:565–568CrossRef Mitra R, Kirpalani D, Wedemeyer M (2008) Conservative management of perineural cysts. Spine (Phila Pa 1976) 33:565–568CrossRef
Metadaten
Titel
A rare cause of Horner’s syndrome: cervicothoracic spinal root cysts
verfasst von
Dilek Top Karti
Omer Karti
Nese Celebisoy
Publikationsdatum
21.02.2019
Verlag
Springer International Publishing
Erschienen in
Neurological Sciences / Ausgabe 6/2019
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-03773-y

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