This case of a 68-year-old woman with a low-thoracic intramedullary neurent
eric cyst is notable for clinical presentation, cyst location, intraoperati
ve findings, and imaging characteristics. The patient's postoperative cours
e was complicated by neurological deterioration and a neuropathic pain synd
rome. Potential causes of these complications are discussed, as an possible
ways to reduce the risk of their occurrence.