Morimoto Takaaki, Kitagawa Masashi, Koyanagi Masaomi, Kato Kenichi, Tsuzuki Sadatoshi, Yamamoto Tetsuro, Yamada Keisuke
Department of Neurosurgery, Hyogo Prefecture Amagasaki General Medical Center, Amagasaki, JPN.
Department of Dermatology, Amagasaki Yasuda Dermatology Clinic, Amagasaki, JPN.
Cureus. 2022 Jul 28;14(7):e27385. doi: 10.7759/cureus.27385. eCollection 2022 Jul.
A meningocele is a congenital neural tube defect, and the majority of the meningocele cases are identified perinatally. We present the case of a 67-year-old patient with a sacral meningocele undiagnosed until the removal of a symptomatic epidermal inclusion cyst adjacent to it. Cerebrospinal fluid leakage occurred due to an incision in an undiagnosed meningocele adjacent to the epidermal inclusion cyst. Repair of the cerebrospinal fluid leakage was performed successfully without any deficit. The present case underscores the importance of considering a meningocele as a differential diagnosis for a mass occurring in the midline of the back at any age.
脊膜膨出是一种先天性神经管缺陷，大多数脊膜膨出病例在围产期被确诊。我们报告一例67岁患者，其骶部脊膜膨出在切除与之相邻的有症状的表皮样囊肿时才被发现。由于在未确诊的与表皮样囊肿相邻的脊膜膨出上进行了切开，导致脑脊液漏。脑脊液漏修补成功，未遗留任何神经功能缺损。本病例强调了在任何年龄，对于背部中线出现的肿块，都应将脊膜膨出作为鉴别诊断考虑的重要性。
