Işik Nejat, Balak Naci, Kircelli Atilla, Göynümer Gökhan, Elmaci Ilhan
Department of Neurosurgery, Göztepe Education and Research Hospital, Istanbul, Turkey.
Turk Neurosurg. 2008 Jul;18(3):254-8.
In this paper we present an adult patient with the Currarino triad, associated with six habitual abortuses and chronic constipation. Our aim is to report the effectiveness of a simple surgical technique in the treatment of anterior sacral meningocele in the Currarino Syndrome. The presentation of the Currarino Syndrome in adulthood is extremely uncommon. We performed a posterior procedure via lumbar and sacral partial laminectomy and transdural ligation of the neck of the meningocele mass. There were no additional neurological deficits and no recurrence of the presacral mass over the 2-year follow up period. When an adult female with habitual abortus and chronic constipation is seen, the possible presence of the Currarino Triad should be investigated and treated. The anterior sacral meningocele in a case of the Currarino Triad regresses over time following transdural ligation of its neck.
在本文中,我们介绍了一名患有库拉里诺三联征的成年患者,该患者伴有六次习惯性流产和慢性便秘。我们的目的是报告一种简单手术技术在治疗库拉里诺综合征中骶前脊膜膨出的有效性。库拉里诺综合征在成年期出现极为罕见。我们通过腰椎和骶骨部分椎板切除术以及经硬膜结扎脊膜膨出肿块颈部进行了后路手术。在2年的随访期内,没有出现额外的神经功能缺损,骶前肿块也没有复发。当遇到一名患有习惯性流产和慢性便秘的成年女性时,应调查并治疗是否可能存在库拉里诺三联征。库拉里诺三联征病例中的骶前脊膜膨出在其颈部经硬膜结扎后会随着时间推移而消退。