Park Hyun Jun, Kim Il Sup, Lee Sang Won, Son Byung Chul
Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea.
J Korean Neurosurg Soc. 2008 Sep;44(3):174-7. doi: 10.3340/jkns.2008.44.3.174. Epub 2008 Sep 30.
Symptomatic sacral perineural cysts are uncommon. Several hypotheses have been proposed to explain the etiologies of perineural cysts, but the accurate etiologies remain unclear. We experienced two cases of symptomatic sacral perineural cysts (Tarlov cysts) in one family, who presented with perianal paresthesia. Both of them were operated and postoperatively their symptoms were disappeared immediately. We experienced the excellent treatment outcome with the surgical management of symptomatic perineural cysts in the sacral region. We assume that the theory of congenital origin including a familial tendency is the most plausible of the hypotheses that have been proposed.
有症状的骶部神经周围囊肿并不常见。已经提出了几种假说来解释神经周围囊肿的病因,但确切病因仍不清楚。我们在一个家族中遇到了两例有症状的骶部神经周围囊肿(塔尔洛夫囊肿)患者,他们表现为肛周感觉异常。两人均接受了手术,术后症状立即消失。我们通过手术治疗骶部有症状的神经周围囊肿取得了良好的治疗效果。我们认为,包括家族倾向在内的先天性起源理论是已提出的假说中最合理的。