Schroeder K A, Venes J L
Neurosurgery. 1984 Dec;15(6):863-7.
A 12-year-old boy presented with enuresis, leg weakness, and lower extremity spasticity. An initial lumbar water-soluble contrast myelogram disclosed an arachnoid diverticulum. After the insertion of a cystopleural shunt, the patient improved and was dry. However, 2 months later the patient became enuretic and developed weakness. Repeat myelography showed a second arachnoid diverticulum located in the midthoracic region. This second diverticulum was treated by marsupialization of the cyst wall to the subfascial space. The authors stress the need for complete myelography in patients with intradural spinal arachnoid diverticuli and present a brief review of the literature.
一名12岁男孩出现遗尿、腿部无力和下肢痉挛。最初的腰椎水溶性造影脊髓造影显示有一个蛛网膜憩室。插入膀胱胸膜分流管后，患者症状改善且不再遗尿。然而，2个月后患者再次出现遗尿并伴有肌无力。重复脊髓造影显示在胸段中部有第二个蛛网膜憩室。通过将囊肿壁袋形缝术至筋膜下间隙对这第二个憩室进行了治疗。作者强调对硬脊膜内脊髓蛛网膜憩室患者进行完整脊髓造影的必要性，并对相关文献进行了简要综述。
