D'Andrea F, Maiuri F, Corriero G, Gambardella A, La Tessa G, Gangemi M
Surg Neurol. 1985 Mar;23(3):287-90. doi: 10.1016/0090-3019(85)90097-7.
Five patients with arachnoidal diverticula after lumbar operations are reported. Myelography was performed in all cases, spinal computed tomography scanning in three; three patients underwent surgical treatment with good clinical results. Arachnoidal diverticula are a rare complication of operations on the lumbar spine. Spinal computed tomography scanning is very useful, especially in the investigation of large diverticula and in the radiologic visualization of the arachnoidal stalk. Surgical treatment, which is required in symptomatic cases, results in remission of pain and prevents neurological complications.
本文报告了5例腰椎手术后出现蛛网膜憩室的患者。所有病例均行脊髓造影,3例行脊柱计算机断层扫描;3例患者接受手术治疗,临床效果良好。蛛网膜憩室是腰椎手术罕见的并发症。脊柱计算机断层扫描非常有用,尤其在检查大型憩室以及蛛网膜蒂的放射学显影方面。有症状的病例需要进行手术治疗,可缓解疼痛并预防神经并发症。