Baig Mirza Asfand, Visagan Ravindran, Boardman Timothy, Murphy Christopher, Al-Ali Bilal, Kellett Christopher, Grahovac Gordan
Department of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
GKT School of Medical Education, King's College London, London, UK.
J Surg Case Rep. 2021 Nov 11;2021(11):rjab498. doi: 10.1093/jscr/rjab498. eCollection 2021 Nov.
The terminal ventricle (TV) of Krause is a rare cystic dilation of the conus' central canal. Due to limited understanding surrounding its pathophysiology, optimal management remains controversial. We report a 25-year-old female presenting with acute paraparesis. Magnetic resonance imaging spine revealed a cystic conus medullaris lesion in keeping with an incidental TV cyst. However, the patient experienced a rapid resolution of symptoms. We hypothesize that the TV cyst spontaneously ruptured and auto-decompressed. To our knowledge, this is the first reported case of an enlarging symptomatic TV cyst with spontaneous rupture and resolution of symptoms, highlighting the variable natural history of this condition.
克劳斯终室（TV）是圆锥中央管罕见的囊性扩张。由于对其病理生理学的了解有限，最佳治疗方案仍存在争议。我们报告了一名25岁出现急性双下肢轻瘫的女性。脊柱磁共振成像显示圆锥髓内有一囊性病变，符合偶然发现的TV囊肿。然而，该患者症状迅速缓解。我们推测TV囊肿自发破裂并自行减压。据我们所知，这是首例有症状的TV囊肿增大后自发破裂并症状缓解的报道病例，突出了这种疾病多变的自然病程。
