我院2003年收治1例罕见的椎管内巨大蛛网膜囊肿,手术治疗效果满意,已追踪随访12月,现报告如下,并就国内外巨大椎管内蛛网膜囊肿的治疗做一文献回顾。周某,女,14岁。临床症状:双下肢进行性无力伴双足下垂半年,加重2月。辅助检查:M R I示“T5￣L1椎体水平椎管内巨大囊性占位病变, A hospital in 2003 admitted to a rare case of spinal arachnoid cysts, the surgical treatment of satisfactory results, has been followed up for 12 months, are reported as follows, and a huge literature review of the treatment of intraspinal arachnoid cysts at home and abroad. Zhou, female, 14 years old. Clinical symptoms: Progressive weakness in both lower extremities with bipedal penumbra six months, increased in February. Auxiliary examination: M R I showed "T5 ~ L1 vertebral level of vertebral huge cystic lesions,