Sonoda Y, Tominaga T, Koshu K, Ogawa A, Yoshimoto T
Division of Neurosurgery, Tohoku University School of Medicine, Sendai, Japan.
Neurol Med Chir (Tokyo). 1994 Sep;34(9):624-7. doi: 10.2176/nmc.34.624.
A 26-year-old female presented with a lateral thoracic meningocele associated with neurofibromatosis. The development of the thoracic meningocele was documented on serial chest roentgenograms. Magnetic resonance imaging and three-dimensional bone computed tomography scans were particularly useful to identify organic changes in the surrounding structures and the osseous orifice of the dural sac, respectively. The large thoracic meningocele was successfully treated through the posterolateral extradural approach in combination with resection of the adjacent ribs and cerebrospinal fluid drainage from the dural sac.
一名26岁女性因神经纤维瘤病伴发胸外侧脊膜膨出就诊。胸部系列X线片记录了胸脊膜膨出的发展情况。磁共振成像和三维骨计算机断层扫描分别对于识别周围结构的器质性改变和硬脊膜囊的骨性开口特别有用。通过后外侧硬膜外入路联合切除相邻肋骨并从硬脊膜囊引流脑脊液，成功治疗了巨大胸脊膜膨出。
