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儿童尿失禁的罕见病因:一例塔尔洛夫囊肿病例及文献综述

A Rare Cause of Urinary Incontinence in a Child: A Case of Tarlov Cyst and a Review of Literature.

作者信息

Kuzucu Selin, Akdulum Ismail

机构信息

Pediatric Medicine, Sorgun State Hospital, Yozgat, TUR.

Radiology, Gazi University Faculty of Medicine, Ankara, TUR.

出版信息

Cureus. 2024 Aug 25;16(8):e67712. doi: 10.7759/cureus.67712. eCollection 2024 Aug.

DOI:10.7759/cureus.67712
PMID:39188339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11346504/
Abstract

Tarlov cysts are formed by ectasia of the perineural spaces around the spinal nerve roots in or distal to the dorsal root ganglion. The cerebrospinal fluid constitutes the cerebrospinal fluid content. Pathogenesis and clinical findings remain unclear. The majority of the defects are asymptomatic. However, in the case of nerve root or spinal cord compression, symptoms such as low back pain, radiculopathy, and bowel and bladder dysfunction occur. Tarlov cyst is rare, and there is limited data on its clinical findings and incidence. This study presents a 10-year-old child patient with urinary incontinence and a Tarlov cyst. This is an interesting case due to the limited data about Tarlov cysts in pediatric patients.

摘要

塔洛夫囊肿是由背根神经节内或其远端脊髓神经根周围的神经周隙扩张形成的。脑脊液构成其囊液成分。其发病机制和临床表现仍不清楚。大多数此类病变是无症状的。然而,在出现神经根或脊髓受压的情况下,会出现诸如腰痛、神经根病以及肠道和膀胱功能障碍等症状。塔洛夫囊肿较为罕见,关于其临床表现和发病率的数据有限。本研究报告了一名患有尿失禁的10岁儿童患者及一个塔洛夫囊肿。鉴于儿科患者中关于塔洛夫囊肿的数据有限,这是一个有趣的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c903/11346504/1dbacabdf15d/cureus-0016-00000067712-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c903/11346504/1dbacabdf15d/cureus-0016-00000067712-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c903/11346504/1dbacabdf15d/cureus-0016-00000067712-i01.jpg

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本文引用的文献

1
Large symptomatic sacral Tarlov cyst in a paediatric patient: case report and technical note on a new variation of surgical technique to overcome one-way check-valve mechanism.小儿骶骨 Tarlov 囊肿巨大伴症状:克服单向活瓣机制的一种新手术技术变异的病例报告及技术说明。
Eur Spine J. 2024 Jul;33(7):2864-2869. doi: 10.1007/s00586-023-08102-8. Epub 2024 Mar 27.
2
Unilateral diaphragmatic paralysis and complete brachial plexus injury in a complex birth injury: A rare case report mimicking Tarlov cyst and review of literature.复杂产伤所致单侧膈肌麻痹和完全性臂丛神经损伤:1例酷似塔尔洛夫囊肿的罕见病例报告及文献复习
Clin Case Rep. 2024 Jan 3;12(1):e8406. doi: 10.1002/ccr3.8406. eCollection 2024 Jan.
3
Eight-year chronic wound caused by Tarlov's cyst: a case report.
由 Tarlov 囊肿引起的 8 年慢性伤口:一例报告。
J Med Case Rep. 2023 Dec 7;17(1):525. doi: 10.1186/s13256-023-04232-1.
4
Management of Tarlov cysts: an uncommon but potentially serious spinal column disease-review of the literature and experience with over 1000 referrals.Tarlov 囊肿的治疗:一种少见但潜在严重的脊柱疾病——文献回顾及对 1000 余例转诊病例的诊治经验。
Neuroradiology. 2024 Jan;66(1):1-30. doi: 10.1007/s00234-023-03226-6. Epub 2023 Oct 13.
5
A Case of a Tarlov Cyst in a Pediatric Patient With Ehlers-Danlos Syndrome.一名患有埃勒斯-当洛综合征的儿科患者的塔尔洛夫囊肿病例。
Cureus. 2022 Sep 10;14(9):e29009. doi: 10.7759/cureus.29009. eCollection 2022 Sep.
6
Severe constipation due to sacral perineural cysts in a pediatrics patient: A case report.小儿患者因骶部会阴神经囊肿导致的严重便秘:一例报告。
Surg Neurol Int. 2022 Jul 22;13:317. doi: 10.25259/SNI_1152_2021. eCollection 2022.
7
Elimination of the check-valve mechanism of the sacral Tarlov cyst using a rotation flap technique in a pediatric patient: technical note.采用旋转皮瓣技术消除小儿骶骨 Tarlov 囊肿的活瓣机制:技术说明。
Childs Nerv Syst. 2021 May;37(5):1741-1745. doi: 10.1007/s00381-020-05029-z. Epub 2021 Jan 6.
8
Tarlov cyst-a rare lesion in children: case report.塔尔洛夫囊肿——儿童罕见病变:病例报告
Childs Nerv Syst. 2019 Apr;35(4):701-705. doi: 10.1007/s00381-019-04105-3. Epub 2019 Feb 27.
9
Giant Tarlov Cyst of Infancy.婴儿期巨大塔尔洛夫囊肿
World Neurosurg. 2019 Mar;123:348-350. doi: 10.1016/j.wneu.2018.12.009. Epub 2018 Dec 19.
10
Surgical excision of symptomatic sacral perineurial Tarlov cyst: case series and review of the literature.有症状的骶部神经束膜性塔尔洛夫囊肿的手术切除:病例系列及文献综述
Eur Spine J. 2016 Nov;25(11):3385-3392. doi: 10.1007/s00586-016-4584-3. Epub 2016 May 6.