Landers J, Seex K
Nepean Hospital, Kingswood, Sydney, Australia.
Br J Neurosurg. 2002 Apr;16(2):182-5. doi: 10.1080/026886902317384535.
Perineural cysts are an uncommon radiological finding and a rare cause of radicular leg pain. We report the clinical findings, imaging and operative appearances of a patient who presented with radicular leg and perineal pain, which was found to be associated with multiple sacral perineural cysts. The diagnostic and treatment options are explored. In particular, the use of percutaneous fine-needle cyst drainage as a guide to the value of surgery is discussed. Postoperative complications, such as pseudomeningocoele can occur, but may be effectively treated with lumbar drainage.
神经周围囊肿是一种罕见的影像学表现，也是导致神经根性腿痛的罕见原因。我们报告了一名出现神经根性腿痛和会阴部疼痛患者的临床症状、影像学及手术表现，发现其与多个骶部神经周围囊肿有关。探讨了诊断和治疗方案。特别是讨论了使用经皮细针囊肿引流作为手术价值的指导。术后可能会出现如假性脑脊膜膨出等并发症，但可通过腰椎引流有效治疗。
