Giant thoracic meningocoele
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Paraspinal cyst (T11 to L2) returning CSF signal.
Right thoracic CSF cyst with smaller left sided out-pouching.
The patient was referred for evaluation of paraplegia secondary to multiple intra and extraspinal cysts. They underwent lumbo-peritoneal shunt. The MRI shows a large intraspinal, extramedullary cyst extending from L2 up to T11 level. In addition there was a 23 x 17 x 16 cm meningocoele to the right of thoracic spine.There were also small cysts in left side communicating with the spinal canal. This case has posed a challenge to the surgeons.