有症状的骶部塔尔洛夫囊肿的切除与重叠缝合术：病例报告及文献综述
Resection and imbrication of symptomatic sacral Tarlov cysts: A case report and review of the literature.
作者信息
Nkwerem Sunday Patrick, Ito Kiyoshi, Ichinose Shunsuke, Horiuchi Tetsuyoshi, Hongo Kazuhiro
机构信息
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto 390-8621, Japan.
Department of Neurosurgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
出版信息
Surg Neurol Int. 2018 Sep 4;9:180. doi: 10.4103/sni.sni_238_18. eCollection 2018.
BACKGROUND
Symptomatic Tarlov cysts are extremely rare, and there is no consensus regarding their optimal surgical management. Here, we encountered a patient with a symptomatic sacral Tarlov cyst and reviewed the appropriate literature.
CASE DESCRIPTION
A 40-year-old male presented with right lower extremity pain and hypoesthesia in the right S2 dermatome. The lumbosacral MR demonstrated a right S2 Tarlov cyst compressing the S2-S3 perineural sheaths. After the patient underwent microscopic cystectomy with obliteration of the subarachnoid connection to the cyst, the patient's symptoms resolved. Here, we reviewed our operative approach, and others proposed in the literature for the surgical management of these lesions.
CONCLUSIONS
Here, we present a 40-year-old male who was symptomatic from a right S2 Tarlov cyst compressing the S2-S3 perineural sheaths and successfully underwent microscopic cystectomy with obliteration of the subarachnoid connection. Additionally, the appropriate Tarlov cyst literature was reviewed.
背景
有症状的塔尔洛夫囊肿极为罕见，关于其最佳手术治疗方法尚无共识。在此，我们遇到了一名患有症状性骶部塔尔洛夫囊肿的患者，并回顾了相关文献。
病例描述
一名40岁男性出现右下肢疼痛及右S2皮节感觉减退。腰骶部磁共振成像显示一个右S2塔尔洛夫囊肿压迫S2 - S3神经周围鞘。患者接受显微镜下囊肿切除术并闭塞囊肿与蛛网膜下腔的连接后，症状得以缓解。在此，我们回顾了我们的手术方法以及文献中提出的针对这些病变的手术治疗方法。
结论
在此，我们介绍了一名40岁男性，他因右S2塔尔洛夫囊肿压迫S2 - S3神经周围鞘而出现症状，并成功接受了显微镜下囊肿切除术及蛛网膜下腔连接闭塞术。此外，还回顾了相关的塔尔洛夫囊肿文献。
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