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上颈椎脊髓支气管源性囊肿:一个位于特殊部位的罕见病变。

Upper cervical spinal bronchogenic cyst: A rare lesion at an exceptional location.

作者信息

Patel Viral, Desai Shreya, Thakkar Vishal, Chaudhari Sanjay

机构信息

Department of Radio-Diagnosis, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India.

Department of Pathology, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India.

出版信息

Indian J Radiol Imaging. 2020 Oct-Dec;30(4):513-516. doi: 10.4103/ijri.IJRI_262_19. Epub 2021 Jan 13.

DOI:10.4103/ijri.IJRI_262_19
PMID:33737784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7954160/
Abstract

An intraspinal bronchogenic cyst is a rare but important cause of compressive cord myelopathy, commonly seen in the cervicothoracic spine. We report a case of a 30-year-old female, presented with complaints of neck pain and progressive weakness of the extremities. The magnetic resonance imaging of the cervical spine revealed an intradural extramedullary, well-defined, multiloculated, cystic lesion in the upper cervical canal extending from the C2 to C5 vertebral levels. To our knowledge, only 11 cases of spinal bronchogenic cysts have been reported in the literature so far. We discuss the rare location of this unusual lesion, possible embryological reasons, and the overall surgical outcome.

摘要

脊髓内支气管源性囊肿是导致压迫性脊髓病的一种罕见但重要的病因,常见于颈胸段脊柱。我们报告一例30岁女性病例,患者主诉颈部疼痛及四肢进行性无力。颈椎磁共振成像显示颈段椎管内硬膜下髓外有一个边界清晰、多房的囊性病变,位于上颈椎管,从C2至C5椎体水平。据我们所知,迄今为止文献中仅报道过11例脊髓支气管源性囊肿病例。我们讨论了这种罕见病变的特殊位置、可能的胚胎学原因以及总体手术结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/7954160/9d3a9741470c/IJRI-30-513-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/7954160/e6ecc1912c2a/IJRI-30-513-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/7954160/084bcb22b668/IJRI-30-513-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/7954160/9d3a9741470c/IJRI-30-513-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/7954160/e6ecc1912c2a/IJRI-30-513-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/7954160/084bcb22b668/IJRI-30-513-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/7954160/9d3a9741470c/IJRI-30-513-g003.jpg

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本文引用的文献

1
Intraspinal bronchogenic cyst: Series of case reports and literature review.椎管内支气管源性囊肿:病例系列报告及文献综述
J Spinal Cord Med. 2017 Mar;40(2):141-146. doi: 10.1080/10790268.2017.1279816. Epub 2017 Mar 20.
2
Spinal intradural extramedullary mature cystic teratoma in an adult: A rare tumor with review of literature.成人脊髓硬膜内髓外成熟囊性畸胎瘤:一种罕见肿瘤并文献复习
Asian J Neurosurg. 2015 Jul-Sep;10(3):133-7. doi: 10.4103/1793-5482.161181.
3
Bronchogenic cyst of the conus medullaris with spinal cord tethering: a case report and review of the literature.
圆锥部支气管源性囊肿伴脊髓拴系:一例报告并文献复习
Int J Clin Exp Pathol. 2015 Apr 1;8(4):3937-42. eCollection 2015.
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An acute case of paraplegia and spinal bronchogenic cyst.一例急性截瘫合并脊髓支气管源性囊肿。
J Orthop Sci. 2015 Sep;20(5):923-6. doi: 10.1007/s00776-014-0554-y. Epub 2014 Mar 15.
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DWI findings in a iatrogenic lumbar epidermoid cyst. A case report.医源性腰椎表皮样囊肿的弥散加权成像表现。病例报告。
Neuroradiol J. 2013 Aug;26(4):469-75. doi: 10.1177/197140091302600412. Epub 2013 Aug 27.
6
Malignant transformation of bronchogenic cyst revealed by 99mTc-MIBI-SPECT.99mTc-MIBI-SPECT显示的支气管源性囊肿恶变
Asian Cardiovasc Thorac Ann. 2012 Jun;20(3):347-9. doi: 10.1177/0218492311436258.
7
Intracranial neuroenteric cysts: a concise review including an illustrative patient.颅内神经肠上皮囊肿:一个简明的综述,包括一个说明性的病例。
J Clin Neurosci. 2012 Mar;19(3):352-9. doi: 10.1016/j.jocn.2011.10.005. Epub 2012 Jan 18.
8
Thoracic myelopathy secondary to intradural extramedullary bronchogenic cyst.硬膜内髓外支气管源性囊肿继发胸椎脊髓病
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J Korean Med Sci. 2008 Oct;23(5):895-7. doi: 10.3346/jkms.2008.23.5.895.
10
Lumbar intradural extramedullary bronchiogenic cyst.腰椎硬膜内髓外支气管源性囊肿。
Eur Surg Res. 2008;40(1):26-8. doi: 10.1159/000107686. Epub 2007 Aug 29.