Ahmadi Firoozeh, Akhbari Farnaz
Department of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
Int J Reprod Biomed. 2017 Sep;15(9):589-592.
Perineural cysts formed within the nerve-root sheath at the dorsal root ganglion. They are most commonly located in the arachnoid covering the junction of the dorsal ganglion and nerve root. They are usually asymptomatic, incidental findings, usually located in the lumbar and sacral region of the spinal canal. It is important to consolidate the imaging findings of this rare disease so clinicians can become more clinically relevant in the evaluation of these cysts.
Herein we report a case of perineural cyst misdiagnosed with hydrosalpinx by pelvic ultrasonography and finally diagnosed with magnetic resonance image.
Perineural cyst should be considered, in the presence of bilateral adnexal masses separated from the ovaries in pelvic sonography.
神经周围囊肿形成于背根神经节处的神经根鞘内。它们最常位于覆盖背侧神经节与神经根交界处的蛛网膜内。它们通常无症状,为偶然发现,通常位于椎管的腰段和骶段。巩固这种罕见疾病的影像学表现很重要,这样临床医生在评估这些囊肿时能更具临床相关性。
在此我们报告一例神经周围囊肿被盆腔超声误诊为输卵管积水,最终经磁共振成像确诊的病例。
在盆腔超声检查发现双侧附件区有与卵巢分离的肿块时,应考虑神经周围囊肿。