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腰骶部蛛网膜囊肿合并脊髓栓系:一例罕见病例报告。

Lumbosacral arachnoid cyst with tethered cord: A rare case report.

作者信息

Jain S K, Sundar I Vijay, Sharma Vinod, Goel Ravishankar S

机构信息

Department of neurosurgery, SMS Medical college and hospital, Jaipur, India.

出版信息

J Craniovertebr Junction Spine. 2012 Jul;3(2):73-5. doi: 10.4103/0974-8237.116551.

DOI:10.4103/0974-8237.116551
PMID:24082689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3777317/
Abstract

Arachnoid cysts are cerebrospinal fluid collections in the spine that can present with neurological symptoms or be discovered accidentally. Intradural location of such cysts especially in the lumbosacral region is relatively rare. The association of such cysts with other congenital anomalies such as tethered cord lends evidence to the developmental origin of arachnoid cysts. We report a case of lumbosacral arachnoid cyst with tethered cord in a 6-year-old male child and discuss the etiopathogenesis and management options.

摘要

蛛网膜囊肿是脊柱内的脑脊液聚集,可出现神经症状或偶然被发现。此类囊肿位于硬膜内,尤其是腰骶部,相对少见。此类囊肿与其他先天性异常如脊髓栓系相关,这为蛛网膜囊肿的发育起源提供了证据。我们报告一例6岁男童腰骶部蛛网膜囊肿合并脊髓栓系的病例,并讨论其病因及治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/82559ffc393f/JCVJS-3-73-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/c672fa824c35/JCVJS-3-73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/272adff5bfa7/JCVJS-3-73-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/69d30bc72c0b/JCVJS-3-73-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/a74991a5ee9c/JCVJS-3-73-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/82559ffc393f/JCVJS-3-73-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/c672fa824c35/JCVJS-3-73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/272adff5bfa7/JCVJS-3-73-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/69d30bc72c0b/JCVJS-3-73-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/a74991a5ee9c/JCVJS-3-73-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b994/3777317/82559ffc393f/JCVJS-3-73-g005.jpg

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本文引用的文献

1
Syringomyelia associated with intradural arachnoid cysts.与硬脊膜内蛛网膜囊肿相关的脊髓空洞症。
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Detection of a dural defect by cinematic magnetic resonance imaging and its selective closure as a treatment for a spinal extradural arachnoid cyst.通过电影磁共振成像检测硬脑膜缺损并对其进行选择性封闭以治疗脊柱硬膜外蛛网膜囊肿。
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中枢神经系统良性囊肿:囊肿壁的神经病理学观察
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Spinal arachnoid cysts associated with syringomyelia: report of two cases and a review of the literature.脊髓蛛网膜囊肿合并脊髓空洞症:两例报告及文献复习
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Symptomatic spinal intradural arachnoid cysts in the pediatric age group: description of three new cases and review of the literature.小儿年龄组有症状的脊髓硬膜内蛛网膜囊肿:三例新病例描述及文献综述
Pediatr Neurosurg. 2001 Oct;35(4):181-7. doi: 10.1159/000050419.
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Is meningocele really an isolated lesion?脊膜膨出真的是一种孤立性病变吗?
Childs Nerv Syst. 2001 Aug;17(8):487-90. doi: 10.1007/s003810100454.
8
Spinal arachnoid cyst without neural tube defect.无神经管缺陷的脊髓蛛网膜囊肿
Childs Nerv Syst. 2001 Feb;17(3):179-81. doi: 10.1007/s003810000367.
9
Dorsal arachnoid web with spinal cord compression: variant of an arachnoid cyst? Report of two cases.伴有脊髓压迫的背侧蛛网膜网:蛛网膜囊肿的一种变异型?两例报告
J Neurosurg. 2000 Oct;93(2 Suppl):287-90. doi: 10.3171/spi.2000.93.2.0287.
10
Percutaneous aspiration of an intradural/extradural thoracic arachnoid cyst: use of MR imaging guidance.经皮穿刺抽吸胸段硬膜内/硬膜外蛛网膜囊肿:磁共振成像引导的应用
J Vasc Interv Radiol. 2000 Mar;11(3):369-72. doi: 10.1016/s1051-0443(07)61432-8.