Antuña-Ramos A, García-Fructuoso G, Alamar-Abril M, Guillén-Quesada A, Costa-Clara J M
Hospital Universitario Central de Asturias, Oviedo, Espana.
Neurocirugia (Astur). 2011 Aug;22(4):342-4; discussion 345-6.
The anterior sacral meningocele is a rare form of spinal dysraphism located in the presacral extraperitoneal space. It is generally asymptomatic and appears as a small pelvic mass.
We present a case of a 10 year-old male that develops a bacteria meningitis because of a pararectal abscess that is connected with an anterior sacral meningocele. We successfully treated it using a posterior approach.
The aim of the surgery is to repair the dural defect and to obliterate the communication between the thecal sac and the herniation defect. The posterior approach is the simplest and most effective surgical technique because the lower risk of neurological injury than the anterior approach.
骶前脊膜膨出是一种罕见的脊柱裂形式，位于骶前腹膜外间隙。它通常无症状，表现为盆腔内小肿块。
我们报告一例10岁男性病例，因直肠旁脓肿与骶前脊膜膨出相通而发生细菌性脑膜炎。我们采用后路手术成功治疗了该病例。
手术目的是修复硬脊膜缺损，消除硬膜囊与疝出缺损之间的通道。后路手术是最简单、最有效的手术技术，因为其神经损伤风险低于前路手术。
