Ju Chang Il, Shin Ho, Kim Seok Won, Kim Hyeun Sung
Department of Neurosurgery, School of Medicine, Chosun University, Gwangju, Korea.
J Korean Neurosurg Soc. 2009 Mar;45(3):185-7. doi: 10.3340/jkns.2009.45.3.185. Epub 2009 Mar 31.
Although most of sacral perineural cysts are asymptomatic, some may produce symptoms. Specific radicular pain may be due to distortion, compression, or stretching of nerve root by a space occupying cyst. We report a rare case of S1 radiculopathy caused by sacral perineural cyst accompanying disc herniation. The patient underwent a microscopic discectomy at L5-S1 level. However, the patient's symptoms did not improved. The hypesthesia persisted, as did the right leg pain. Cyst-subarachnoid shunt was set to decompress nerve root and to equalize the cerebrospinal fluid pressure between the cephalad thecal sac and cyst. Immediately after surgery, the patient had no leg pain. After 6 months, the patient still remained free of leg pain.
虽然大多数骶部神经周围囊肿无症状，但有些可能会产生症状。特定的神经根性疼痛可能是由于占位性囊肿对神经根的扭曲、压迫或牵拉所致。我们报告一例罕见的骶部神经周围囊肿伴椎间盘突出引起的S1神经根病病例。患者接受了L5 - S1节段的显微椎间盘切除术。然而，患者的症状并未改善。感觉减退持续存在，右腿疼痛也依然存在。进行了囊肿 - 蛛网膜下腔分流术以减压神经根并平衡头侧硬脊膜囊和囊肿之间的脑脊液压力。手术后患者立即没有腿痛了。6个月后，患者仍然没有腿痛。
