Treatment and follow-up of a patient with neurofibromatosis type Ⅰ complicated with intervertebral foramen arachnoid cyst and severe spinal deformity
PAN Qiang
ZHU Lin
GAO Yong
LU Na
SONG Chun-yu
JIA Shou-qiang
Abstract：Neurofibromatosis type 1(NF-1)is an autosomal dominant hereditary disorder,and a few patients may present with spinal deformities.Arachnoid cysts are frequently found in the intracranial region but are relatively rare in the spinal canal.The combination of NF-1 with severe spinal deformity and arachnoid cysts in the intervertebral foramen area is extremely rare.This paper reports a case of such a patient,a 53-year-old male with a history of NF-1.Preoperative spinal X-ray examination revealed S-shaped scoliosis of the spine.Preoperative CT and MRI identified a space-occupying lesion at the left intervertebral foramen of the T4 vertebra.As the patient refused spinal corrective surgery,the space-occupying lesion at the intervertebral foramen was resected surgically.Postoperative pathology indicated an arachnoid cyst.A review CT scan 5 months after the operation showed a significant reduction in the cyst size,and the scoliosis did not aggravate.
Keywords：Neurofibromatosis type ⅠSpinal deformityArachnoid cyst
Publication Date：2025-02-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 121-123 )