Mehmood Asim, Nadeem Muhammad, Inam Rida, Parveen Rukhsana
Internal Medicine, Shifa College of Medicine, Islamabad, PAK.
Neurosurgery, Shifa International Hospital, Islamabad, PAK.
Cureus. 2024 Oct 7;16(10):e71048. doi: 10.7759/cureus.71048. eCollection 2024 Oct.
We present a case of a 48-year-old woman who began experiencing excruciating lower back pain that radiated down her right leg and got worse in 15 days. An intradural cyst at L2, which compressed the conus medullaris and cauda equina, was found to be T2 hyperintense and T1 isointense on magnetic resonance imaging (MRI). Upon histological inspection, a well-defined ovoid cyst was observed and identified as a neuroenteric (NE) cyst, which was somewhat brighter than cerebrospinal fluid (CSF). Cyst excision and L2 laminectomy provided her with significant pain relief and a smooth recovery. She had completely recovered from her symptoms by the two-week follow-up. This case demonstrates the importance of MRI in diagnosing NE cysts and the efficacy of surgical removal in producing favorable results.
我们报告一例48岁女性病例，该患者开始出现剧烈的下背部疼痛，并放射至右腿，且在15天内病情加重。磁共振成像（MRI）显示L2水平存在一个硬膜内囊肿，该囊肿压迫脊髓圆锥和马尾，在T2加权像上呈高信号，在T1加权像上呈等信号。组织学检查发现一个边界清晰的卵圆形囊肿，经鉴定为神经肠源性（NE）囊肿，其信号比脑脊液（CSF）略高。囊肿切除及L2椎板切除术使她的疼痛得到显著缓解，并顺利康复。在两周的随访中，她的症状已完全消失。该病例证明了MRI在诊断NE囊肿中的重要性以及手术切除产生良好效果的有效性。
