Seddighi Afsoun, Seddighi Amir Saied
Department of Neurosurgery, Rajaie Hospital, Padegan Street, Qazvin, Iran.
J Med Case Rep. 2010 Mar 5;4:81. doi: 10.1186/1752-1947-4-81.
Lateral meningocele is a very rare disorder. It has been reported in patients with neurofibromatosis or Marfan's syndrome. Previous reports have described lateral meningoceles in the thoracic or cervical region. Lateral meningocele in the sacral area was reported in the literature only once.
We describe a 3.5-year-old Iranian girl who presented with a lateral gluteal mass. Neuroimaging and intra-operative evaluation showed that the mass was a lateral sacral meningocele with spinal communication through the iliac bone. We also present a review of the literature about this entity.
Although lateral meningoceles especially in the sacral region are rare disorders, their possibility should always be considered in young patients presenting with a paravertebral or gluteal mass.
外侧脑脊膜膨出是一种非常罕见的疾病。已在患有神经纤维瘤病或马方综合征的患者中报道过。既往报告描述过胸段或颈段的外侧脑脊膜膨出。骶骨区域的外侧脑脊膜膨出在文献中仅被报道过一次。
我们描述了一名3.5岁的伊朗女孩，她表现为臀外侧肿块。神经影像学和术中评估显示该肿块是一个通过髂骨与脊髓相通的骶骨外侧脑脊膜膨出。我们还对有关该疾病的文献进行了综述。
尽管外侧脑脊膜膨出尤其是骶骨区域的外侧脑脊膜膨出是罕见疾病，但对于出现椎旁或臀外侧肿块的年轻患者，应始终考虑到其可能性。
