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酷似附件肿物的巨大多发双侧骶前塔尔洛夫囊肿——影像学特征

Giant multiple and bilateral presacral Tarlov cysts mimicking adnexal mass - imaging features.

作者信息

Boukobza Monique, Roussel Alexandre, Fernandez-Rodriguez Pedro, Laissy Jean-Pierrre

机构信息

Department of Radiology, Assistance Publique-Hôpitaux de Paris, Bichat Hospital, Paris, France,

INseRM U1148, Paris, France.

出版信息

Int Med Case Rep J. 2018 Aug 22;11:181-184. doi: 10.2147/IMCRJ.S147791. eCollection 2018.

DOI:10.2147/IMCRJ.S147791
PMID:30174464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6110282/
Abstract

Perineural or Tarlov cysts (TCs) are nerve root cysts. They are usually incidental findings on MRI and are most frequently observed in the sacral spine. A 49-year-old woman presented with lower abdominal discomfort for several months. Physical examination demonstrated a cyst-like mass. An ultrasonographic examination revealed a cystic mass near the right ovary. MRI (3-Tesla unit) showed multiple, bilateral, and almost symmetric giant TCs with presacral space and endopelvic extension and minime scalloping. TCs originated from the right and left L5, S1, S2, and S3 nerve root sleeves entered the presacral space and extended into the pelvis.

摘要

神经周围囊肿或塔尔洛夫囊肿(TCs)是神经根囊肿。它们通常是MRI检查中的偶然发现,最常见于骶椎。一名49岁女性出现下腹部不适数月。体格检查发现一个囊肿样肿块。超声检查显示右卵巢附近有一个囊性肿块。MRI(3特斯拉设备)显示多个双侧且几乎对称的巨大TCs,伴有骶前间隙和盆腔内延伸以及轻微扇贝样改变。TCs起源于左右L5、S1、S2和S3神经根袖,进入骶前间隙并延伸至盆腔。

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本文引用的文献

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J Neuroradiol. 2017 Feb;44(1):38-43. doi: 10.1016/j.neurad.2016.09.006. Epub 2016 Nov 9.
2
Surgical excision of symptomatic sacral perineurial Tarlov cyst: case series and review of the literature.有症状的骶部神经束膜性塔尔洛夫囊肿的手术切除:病例系列及文献综述
Eur Spine J. 2016 Nov;25(11):3385-3392. doi: 10.1007/s00586-016-4584-3. Epub 2016 May 6.
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Microsurgical treatment of sacral perineural (Tarlov) cysts: case series and review of the literature.
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Br J Radiol. 2021 Nov 1;94(1127):20210505. doi: 10.1259/bjr.20210505. Epub 2021 Sep 19.
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Axial Spondyloarthritis: Mimics and Pitfalls of Imaging Assessment.轴性脊柱关节炎:影像学评估的模仿者与陷阱
Front Med (Lausanne). 2021 Apr 22;8:658538. doi: 10.3389/fmed.2021.658538. eCollection 2021.
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Front Med (Lausanne). 2020 Nov 30;7:577301. doi: 10.3389/fmed.2020.577301. eCollection 2020.
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