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成年患者腰骶部后位脑脊膜膨出:一例报告

Lumbosacral posterior meningocele in adult patient: a case report.

作者信息

Wahid Ali Tarik Abdul, Abdulghani Zahraa Monjed, Al-Fatlawi Nabeel, Al-Badri Sajjad Ghanim

机构信息

Department of Surgery, University of Baghdad, College of Medicine, Baghdad, Iraq.

出版信息

J Surg Case Rep. 2025 Jan 23;2025(1):rjaf018. doi: 10.1093/jscr/rjaf018. eCollection 2025 Jan.

Abstract

Spinal dysraphism is the incomplete fusion of the neural arch, which can be seen as an occult or open neural tube defect. Meningoceles are a form of open neural tube defect characterized by cystic dilatation of the meninges containing cerebrospinal fluid without the involvement of neural tissue. Neurosurgical intervention is necessary in the newborn period since survival in advancing ages is often impossible. Therefore, meningoceles are rarely reported in adulthood. Here, we discussed a case of a 23-year-old female who presented with a meningocele in the lumbosacral area since birth, which had not been operated on. Surgical management and intraoperative findings are also discussed.

摘要

脊柱裂是神经弓的不完全融合,可表现为隐性或开放性神经管缺陷。脊膜膨出是开放性神经管缺陷的一种形式,其特征是含有脑脊液的脑膜呈囊性扩张,而神经组织未受累。由于大龄患者往往无法存活,因此新生儿期需要进行神经外科干预。因此,成人期很少报告脊膜膨出病例。在此,我们讨论了一例23岁女性病例,该患者自出生以来腰骶部就有一个脊膜膨出,一直未接受手术治疗。同时也讨论了手术治疗及术中发现。

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