Mitra Raj, Kirpalani Dhiruj, Wedemeyer Matthew
Stanford Interventional Spine Center, Department of Orthopedic Surgery, Stanford University School of Medicine, Palo Alto, CA 94305, USA.
Spine (Phila Pa 1976). 2008 Jul 15;33(16):E565-8. doi: 10.1097/BRS.0b013e31817e2cc9.
A case series and literature review are presented.
To review relevant data for the management of perineural cysts, and present a case series of 2 patient with symptomatic perineural cysts treated by steroid therapy.
Perineural cysts are usually an incidental finding, but rarely may cause mechanical nerve root compression. Surgical treatments for perineural cysts are complicated by postoperative pseudomeningocoele and intracranial hypotension, and reoccurrence of the cyst. There are no reported nonsurgical treatments for perineural cysts.
We present a case series symptomatic perineural cysts.
Patients with lumbar and cervical perineural cysts were treated successfully with oral and epidural steroid therapy.
Steroid therapy may offer a nonsurgical alternative for the treatment of symptomatic perineural cysts.
呈现一个病例系列及文献综述。
回顾有关神经周囊肿治疗的相关数据，并呈现2例接受类固醇治疗的有症状神经周囊肿患者的病例系列。
神经周囊肿通常为偶然发现，但很少可导致机械性神经根压迫。神经周囊肿的手术治疗会因术后假性脑脊膜膨出、颅内低压及囊肿复发而变得复杂。尚无关于神经周囊肿非手术治疗的报道。
我们呈现一个有症状神经周囊肿的病例系列。
腰椎和颈椎神经周囊肿患者经口服和硬膜外类固醇治疗成功。
类固醇治疗可能为有症状神经周囊肿的治疗提供一种非手术选择。
