Baba H, Okumura Y, Ando M, Imura S, Morioka K, Noriki S
Department of Orthopaedic Surgery, Fukui Medical School, Japan.
Paraplegia. 1995 Apr;33(4):228-32. doi: 10.1038/sc.1995.51.
This article describes a 16-year-old male patient, otherwise healthy, with intractable suboccipital pain due to an intradural, extramedullary bronchogenic cyst at C1 level. Computed tomographic and magnetic resonance imaging scans showed an extramedullary cystic lesion on the right anterolateral side of the spinal cord at C1 level. No other vertebral, spinal cord, or cutaneous abnormality was associated. The patient underwent posterolateral resection of the C1 bony ring on the right side, followed by complete removal of a cyst microsurgically. Histology suggested that the mass, with its contents of slightly viscous and opaque liquid, was an atypical form of bronchogenic cyst with abundant pseudostratified ciliated epithelial cells.
本文描述了一名16岁男性患者，身体健康，因C1水平硬膜内髓外支气管源性囊肿导致顽固性枕下疼痛。计算机断层扫描和磁共振成像扫描显示C1水平脊髓右前外侧有一个髓外囊性病变。未发现其他椎体、脊髓或皮肤异常。患者接受了右侧C1骨环的后外侧切除术，随后通过显微手术完全切除囊肿。组织学检查表明，该肿块含有微粘性不透明液体，是一种非典型的支气管源性囊肿，有大量假复层纤毛上皮细胞。
