Tatagiba M, Aguiar P H, Samii M
Department of Neurosurgery, Nordstadt Hospital, Hannover, Fed. Rep. of Germany.
Neurosurg Rev. 1994;17(4):313-5. doi: 10.1007/BF00306825.
Occult intrasacral meningocele is an uncommon condition that may produce chronic low back pain, sciatica, and bladder dysfunction. We describe a patient suffering from low back pain and radicular symptoms, in whom multimodality radiological examinations showed an intrasacral meningocele and a lumbar disc prolapse. The protruded disc was considered to be the cause of the clinical symptoms in this patient rather than the meningocele. Surgical removal of the protruded disc was performed without interference with the meningocele. Postoperatively there was recovery of the preoperative deficits. Clinical and radiographic findings in occult intrasacral meningocele are discussed and criteria for differential diagnosis with disc prolapse are stressed.
隐匿性骶管内脊膜膨出是一种罕见疾病，可导致慢性下腰痛、坐骨神经痛和膀胱功能障碍。我们描述了一名患有下腰痛和神经根症状的患者，其多模态影像学检查显示有骶管内脊膜膨出和腰椎间盘突出。该患者临床症状被认为是由突出的椎间盘而非脊膜膨出引起。对突出的椎间盘进行了手术切除，未对脊膜膨出造成干扰。术后患者术前的功能障碍得以恢复。文中讨论了隐匿性骶管内脊膜膨出的临床和影像学表现，并强调了与椎间盘突出进行鉴别诊断的标准。
