Home » Frequently asked Questions on Health » Removal of spinal cyst and paralysis

Removal of spinal cyst and paralysis

Q: I am a 43 years old lady with severe pain in the left leg and lower back. Hospital: Udai Clinic, Nampally, Hyderabad. Investigations- X-Ray: showed slip-disc; MRI: showed spinal cord cyst. Intradural extramedullary lesion of size 2 cm by 1.1 cm. Few other cysts in cervical area have been found. An ovarian cyst has also been found but has been attributed to menopause. Chances of paralysis explained prior to surgery. The duration of surgery was four hours. According to the Neurosurgeon, the cyst removal was incomplete because of the positioning of the cyst in the spinal cord. Some fluid was syringed out and sent for pathological examination. A further four days were needed to ascertain if the cyst would refill. We have been given 60-40% chance against cyst re-growth. Incase the cyst relapses, another surgery would be required which is of a high-risk nature according to the doctor with a 80% chance of paralysis. Histopathology report: Arachnoidal cyst 4 cm. Kindly advise me on the following: a)Chances of relapse of the cyst; b) Surgical complications c) Conservative treatment for the cyst

A:Chances that the cyst may reform: Unpredictable. If most of the cyst wall has been removed and the cyst has been saucerised, the chances are small. Complications of surgery: This depends on the location of the cyst in relation to the spinal cord. If it lies in front of the spinal cord and the surgeon is operating from behind the cord (as is usually the case), the surgeon will need to move the spinal cord to one side to reach the cyst. This is not always tolerated by the spinal cord, howsoever delicately it can be done. This may result in worsening of weakness in muscles below the level of the spinal cord. Most times, however, such weakness is temporary. Conservative treatment of the cyst: I am not aware of any proven effective non-operative therapy for such cysts.


................... Advertisement ...................




Using 0 of 1024 Possible characters
Choose Topic

Latest stories

Swine Flu Kills 11 In Nagpur, 4 In Indore: Tips To Prevent Swine Flu

Fri, 22 Sep 2017 17:00:13 IST
As many as 11 people died of swine flu in the Nagpur division in the past two days, taking the death toll 73 for the year, whereas four deaths were reported in Indore in a matter of past 24 hours.

Breathing Dirty Air May Lead To Kidney Failure: Study

Fri, 22 Sep 2017 16:00:58 IST
Air pollution may increase the risk of chronic kidney disease, which can lead to the failure of the organ, a study has warned.

Sexual Touch At An Early Age May Lead To Early Puberty

Fri, 22 Sep 2017 15:00:02 IST
German researchers found that women who were touched on their genitals at a young age experience changes in their brain and that touch triggers puberty.

Moderate Physical Activity For A Healthy Heart, Longer Life

Fri, 22 Sep 2017 14:00:23 IST
A recent study concludes that 1 in every 12 global deaths could be prevented, if all of us adhered to at-least 30 minutes of exercise each day, or 2.5 hours in week. Read on to know moderate exercising could help prevent heart disease and help you live longer.

11 Infants Being Treated For The E-Coli Infection At PGIMER

Fri, 22 Sep 2017 13:00:42 IST
The PGIMER (Post Graduate Institute of Medical Education and Research) battles against the outbreak of E-Coli infection in its Neonatal ICU. 1 infants are getting treatment for this infection at the moment, hospital sources reveal.