Department of Neurosurgery, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
J Clin Neurosci. 2010 Dec;17(12):1601-3. doi: 10.1016/j.jocn.2010.04.026.
We present a 40-year-old man with conus medullaris syndrome secondary to a cystic lesion of the ventriculus terminalis (CLVT) and review the relevant literature. The patient presented with 4 years of worsening right leg weakness, and examination showed bilateral fasciculations and hyporeflexia. MRI showed a cystic lesion at T11-12. He was managed with a T11-12 laminectomy and fenestration of an intramedullary cyst. A total of 32 patients, including ours, have been described since 1968: 24 were female with a mean age of 46.6 years. All patients presented symptomatically: five were managed conservatively, four using percutaneous aspiration under MRI guidance, and 22 with open surgery. We conclude that symptomatic patients are best managed surgically, although percutaneous aspiration is an emerging technique.
我们报告了 1 例 40 岁男性患者，因终室囊状病变（CLVT）导致圆锥马尾综合征，并复习了相关文献。该患者诉右腿无力进行性加重 4 年，检查发现双侧束颤和反射减弱。MRI 显示 T11-12 水平有囊性病变。行 T11-12 椎板切除术和髓内囊肿开窗术。自 1968 年以来，共描述了 32 例患者，包括我们的病例：24 例为女性，平均年龄为 46.6 岁。所有患者均有症状：5 例保守治疗，4 例在 MRI 引导下经皮抽吸，22 例手术治疗。我们的结论是，症状性患者最好通过手术治疗，尽管经皮抽吸是一种新兴技术。
