腰椎后纵韧带脊髓神经节囊肿致腰椎管狭窄伴神经源性间歇性跛行：病例报告

Spinal ganglion cyst of lumbar posterior longitudinal ligament causing lumbar stenosis with neurogenic claudication: Case report.

作者信息

La Delfa Giovanni Carlo, Caltabiano Daniele Carmelo, Cannella Alfio, Di Lorenzo Clara, Ragusa Antonio, Trombatore Pietro, Cottonaro Simone, Galvano Gianluca

机构信息

Azienda Ospedaliero Universitaria Policlinico "G. Rodolico - San Marco (U.O.C. Radiologia 1), Via Santa Sofia 78, Catania, Italy.

Azienda Ospedaliera Di Rilievo Nazionale E Di Alta Specializzazione Garibaldi (U.O.C. Diagnostica Per Immagini, Radiologia Interventistica e Neuroradiologia Garibaldi Centro), Piazza Santa Maria Di Gesù 5, Catania, Italy.

出版信息

Radiol Case Rep. 2025 Mar 20;20(6):2882-2885. doi: 10.1016/j.radcr.2025.02.071. eCollection 2025 Jun.

DOI:10.1016/j.radcr.2025.02.071

PMID:40201052

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11978292/

Abstract

This case report describes a 24-year-old male with a spinal ganglion cyst originating from the posterior longitudinal ligament (PLL) of the lumbar spine, an uncommon site for ganglion cysts. The patient exhibited symptoms of neurogenic claudication (NC), initially thought to be spinal stenosis, however MRI showed a cystic lesion instead, compressing L2-L3 nerve roots. The case illustrates the importance of differential diagnoses in spinal cystic lesions and highlights surgical excision as an effective treatment for symptomatic relief.

摘要

本病例报告描述了一名24岁男性，患有起源于腰椎后纵韧带（PLL）的脊髓神经节囊肿，这是神经节囊肿的一个罕见部位。患者表现出神经源性间歇性跛行（NC）症状，最初被认为是椎管狭窄，但MRI显示为囊性病变，压迫L2-L3神经根。该病例说明了脊柱囊性病变鉴别诊断的重要性，并强调手术切除是缓解症状的有效治疗方法。