Maiuri F, Gambardella A, Gangemi M
Acta Neurol (Napoli). 1989 Feb;11(1):46-50.
The rare case of a 12-year-old girl with sciatic pain and bilateral meningeal diverticula of S1 and S2 nerve roots on both sides, is reported. Meningeal diverticula are a rare cause of sciatic pain and are exceptional in infants and children. Water-soluble myelography shows a rapid and complete opacification of the diverticulum, because of its large communication with the subarachnoid space; computerized tomography and magnetic resonance show an aspecific CSF collection, similar to all nerve root cysts. The complete removal of the cyst wall, with closure of its pedicle, results in the clinical remission in symptomatic cases.
报道了一例12岁女孩的罕见病例,该女孩患有坐骨神经痛,双侧S1和S2神经根均有脑膜憩室。脑膜憩室是坐骨神经痛的罕见病因,在婴儿和儿童中极为罕见。水溶性脊髓造影显示憩室迅速且完全显影,因为它与蛛网膜下腔有较大的连通;计算机断层扫描和磁共振成像显示为非特异性脑脊液聚集,与所有神经根囊肿相似。在有症状的病例中,完整切除囊肿壁并封闭其蒂部可使临床症状缓解。