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脊髓发育不良患儿合并胸段脊髓硬膜内髓外表皮样囊肿和神经肠囊肿

Concurrent Thoracic Spinal Intradural Extramedullary Epidermoid and Neurenteric Cyst in a Spinal Dysraphism Child.

作者信息

Sharma Rajeev, Mahajan Swati, Bhardwaj Minakshi, Gupta Laxmi Naraian, Gupta Deepak

机构信息

Department of Neurosurgery, AIIMS, New Delhi, India.

Department of Pathology, AIIMS, New Delhi, India.

出版信息

Pediatr Neurosurg. 2021;56(3):261-267. doi: 10.1159/000511091. Epub 2021 Mar 30.

Abstract

INTRODUCTION

Intraspinal epidermoid cysts are congenital or acquired in origin; whereas intraspinal neurenteric cysts (NECs) are of congenital origin. Their individual association with spinal dysraphism and vertebral segmentation anomalies is very well known.

CASE PRESENTATION

We hereby report a case of concurrent intradural extramedullary epidermoid and NEC at adjacent vertebral levels in a spinal dysraphism child, not reported in English Literature till now.

CONCLUSION

Multiple spinal lesions related to any/all of the 3 germ layers can coexist at same or adjacent vertebral levels in the same patient and surgical planning shown to be done accordingly.

摘要

引言

椎管内表皮样囊肿起源于先天性或后天性;而椎管内神经肠囊肿(NECs)则为先天性起源。它们与脊柱裂和椎体节段性异常的个体关联已广为人知。

病例报告

我们在此报告一例脊髓脊膜膨出患儿在相邻椎体水平同时存在硬膜内髓外表皮样囊肿和神经肠囊肿的病例,这在英文文献中迄今尚未见报道。

结论

同一患者的同一或相邻椎体水平可同时存在与三个胚层中任何一个或全部相关的多个脊柱病变,手术规划应据此进行。

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