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一名13岁女孩腰椎间盘囊肿的变异型:病例报告

Variant of a lumbar disc cyst in a 13-year-old girl: a case report.

作者信息

Kishen T J, Shetty A P, Rajasekaran S

机构信息

Department of Orthopaedics and Spine Surgery, Ganga Hospital, Ramnagar, Coimbatore, India.

出版信息

J Orthop Surg (Hong Kong). 2006 Aug;14(2):184-6. doi: 10.1177/230949900601400215.

Abstract

A disc cyst is a rare entity with a clinical presentation that closely mimics an intervertebral disc herniation. Disc cysts are ventrally located, intraspinal, extradural cystic lesions that communicate with the parent intervertebral disc through a ruptured annulus. We present the clinical features, magnetic resonance imaging, intra-operative and histopathological findings of a variant of a lumbar intervertebral disc cyst in a 13-year-old girl who presented with a 6-month history of unilateral radiculopathy following an injury. Magnetic resonance imaging revealed a large posterocentral, fluid-filled cyst occupying the L5-S1 interspace and bulging into the spinal canal. The cyst was confined within an intact bulging annulus fibrosis and extended directly from the parent disc. The cyst was surgically decompressed, resulting in complete symptomatic relief.

摘要

椎间盘囊肿是一种罕见的疾病,其临床表现与椎间盘突出症极为相似。椎间盘囊肿位于椎管前方、硬膜外的脊髓内囊性病变,通过破裂的椎间盘纤维环与母椎间盘相通。我们报告了一名13岁女孩的腰椎间盘囊肿变异型的临床特征、磁共振成像、术中及组织病理学检查结果,该女孩在受伤后出现了6个月的单侧神经根病病史。磁共振成像显示一个大的后中央、充满液体的囊肿占据了L5-S1间隙并突入椎管。囊肿局限于完整膨出的纤维环内,直接从母椎间盘延伸而来。囊肿通过手术减压,症状完全缓解。

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