Question
i have a intradural arachnoid cyst. I went to ER for chest/rib pain and middle back pain that hurts more when laying down. The MRI said their was flattening of the cord and that the mass was causing mild cord compression against the thecal sac anteriorly. Is this a cause for concern? I was told to follow up with nuerosurgeon? Is this "cord compression or flattening" a worry in your opinion?

Answer
Cindy;

Yes, if it were me I would be concerned.  The spinal cord does carry ALL the nervous information in your body, from organ control to orgasm!  That said, this is a symptom issue.  If you are experiencing symptoms like numbness, tingling, etc, then it's time to get more and more serious about a possible surgical solution.  You should plan on scheduling regular MRI's, maybe once every (insert period of time as established by your doc here) or so, to monitor the tumor.  Some tumors just stop, some continue on.

I also think the consultation with a neurosurgeon is a great idea, if for no other reason than to establish a relationship with them should this require their attention. Here in Seattle we are fortunate to have some great teaching hospitals, and therefore some great neurosurgeons.... I'd have a referral for you. Ask you doc for the referral and go.  The worst thing they could say would be let's operate now, but then that might be a good thing.  It's better to know than not.

Hope this answers you question.

Dr. Peter Carr
Seattle, WA