Börcek Alp Ozgün, Ergün Ertan, Emmez Hakan, Kurt Gökhan, Dogulu Fikret, Baykaner M Kemali
Department of Neurosurgery, Pediatric Neurosurgery Division, Gazi University, Faculty of Medicine, Ankara, Turkey.
J Neurosurg. 2005 Jul;103(1 Suppl):79-82. doi: 10.3171/ped.2005.103.1.0079.
Myelomeningocele presenting as a retromediastinal mass originating from the midline defect through the fused T-4, T-5, and T-6 VBs is described. An 11-year-old boy with a completely normal systemic and neurological examination suffering pulmonary problems such as effort dyspnea and severe kyphosis was evaluated and an anterior thoracic myelomeningocele was diagnosed. The boy underwent surgery for excision of the meningomyelocele sac and correction of kyphoscoliosis. His year-long follow-up period as an outpatient was uneventful. A comprehensive PubMed search of the literature returned no results for an "anterior thoracic myelomeningocele" query. To the best of the authors' knowledge, this is the only case described in the literature.
本文描述了一例脊髓脊膜膨出，表现为起源于中线缺损、通过融合的T4、T5和T6椎体形成的后纵隔肿块。一名11岁男孩，全身和神经系统检查完全正常，但存在劳力性呼吸困难和严重脊柱后凸等肺部问题，经评估诊断为胸段前路脊髓脊膜膨出。该男孩接受了脊髓脊膜膨出囊切除术和脊柱侧凸矫正手术。作为门诊患者，他为期一年的随访过程顺利。对PubMed文献进行全面检索，未找到“胸段前路脊髓脊膜膨出”相关的查询结果。据作者所知，这是文献中描述的唯一病例。
