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圆锥内硬膜下髓外肠源性囊肿:罕见病例报告

An Intradural Extramedullary Enterogenous Cyst in the Conus Medullaris: A Report of a Rare Presentation.

作者信息

Turkistani Alaa N, Alzahrani Wareef, Aljohani Sara, Jamjoom Abdulhakim B

机构信息

Neurosurgery, King Faisal Specialist Hospital and Research Centre, Jeddah, SAU.

Neurousrgery, National Guard Health Affairs (NGHA), Jeddah, SAU.

出版信息

Cureus. 2024 Sep 9;16(9):e68971. doi: 10.7759/cureus.68971. eCollection 2024 Sep.

Abstract

Intraspinal enterogenous cysts are rare congenital abnormalities that mainly develop in the spinal canal, more commonly in the cervical and thoracic regions, and rarely in the lumbar spine. We present a case of neurenteric (NE) cyst in the conus medullaris and cauda equina junction at the level of L1 in a patient presenting with a nine-year history of progressive lower limb weakness, paresthesia, and muscle wasting. The patient underwent complete resection of the cyst and had no postoperative complications with marked improvement of paresthesia and some localized pain in the lower back manageable by analgesics.

摘要

脊髓内肠源性囊肿是罕见的先天性异常,主要发生在椎管内,更常见于颈段和胸段,很少见于腰椎。我们报告一例位于L1水平脊髓圆锥和马尾神经交界处的神经肠源性(NE)囊肿病例,该患者有九年进行性下肢无力、感觉异常和肌肉萎缩病史。患者接受了囊肿全切术,术后无并发症,感觉异常明显改善,下背部一些局部疼痛可通过镇痛药控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a875/11462158/edeeed2cc61a/cureus-0016-00000068971-i01.jpg

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