Open meningocele associated with a cervical spinal arachnoid cyst and Arnold Chiari malformation type II, a case report

Introduction: Spina bifida is a congenital malformation involving the vertebral spine with different presentations ranging from occult defects to large cutaneous exposing tissue and nerves.
 Case report: Here we describe patient who had open spina exposure of nerve roots, which seemed be functional on physical examination. A few days after surgery for closure lumbosacral defect, presented severe respiratory distress quadriparesis. Magnetic resonance imaging showed cervical arachnoid cyst Arnold Chiari type II requiring second surgical procedure consisting decompression bones ligaments at craniospinal junction microsurgical fenestration spinal cyst.
 Discussion: To our knowledge, cysts are rare entity in pediatric
 patients. On other hand, dysraphism, myelomeningocele most frequent form, common. In literature search, no previous reports were found cases similar ours dysraphism these specific anatomical characteristics associated an malformation.
 Conclusion: Spinal includes complex disorders. Full magnetic recommended early detection conditions.