Simgen A
Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Str. 1, 66424, Homburg/Saar, Deutschland.
Radiologe. 2018 Feb;58(2):113-119. doi: 10.1007/s00117-017-0350-8.
Spinal cysts can be classified as meningeal, not meningeal, and tumor-associated cysts. Due to the widespread availability of high-resolution computed tomography and magnet resonance imaging, spinal cysts can be detected with high sensitivity these days. Concerning the variety of potential cystic differential diagnoses, a precise classification is difficult and can often only be realized after surgical inspection or histological examination.
Spinal cysts are generally incidental findings during a routine diagnostic workup and need no further therapy. Surgical treatment can be necessary if the spinal cyst reaches a certain size and causes neurological symptoms due to the compression of the spinal cord or the nerve root.
脊髓囊肿可分为脑膜性、非脑膜性和肿瘤相关性囊肿。由于高分辨率计算机断层扫描和磁共振成像的广泛应用,如今脊髓囊肿能够以高灵敏度被检测出来。鉴于潜在的囊肿鉴别诊断种类繁多,精确分类很困难,通常只有在手术检查或组织学检查后才能实现。
脊髓囊肿通常是在常规诊断检查中偶然发现的,无需进一步治疗。如果脊髓囊肿达到一定大小并因压迫脊髓或神经根而引起神经症状,则可能需要进行手术治疗。