Roeder M B, Bazan C, Jinkins J R
Department of Radiology, University of Texas Health Science Center, San Antonio 78284-7800, USA.
Neuroradiology. 1995 Feb;37(2):146-7. doi: 10.1007/BF00588632.
A 33-year-old man presented with a 3-month history of gradually progressive leg weakness. Spinal MRI and myelography with CT demonstrated an extensive intradural abnormality suggesting a diffuse inflammatory or neoplastic process. Only after cranial CT and MRI demonstrated lipid droplets was the diagnosis of a ruptured spinal dermoid cyst suggested. Subsequent laminectomy revealed a ruptured intradural dermoid cyst in the lumbar spine, with chemical arachnoiditis.
一名33岁男性，有3个月逐渐进展的腿部无力病史。脊柱MRI及CT脊髓造影显示硬膜内广泛异常，提示弥漫性炎症或肿瘤性病变。仅在头颅CT和MRI显示脂滴后，才考虑诊断为脊髓皮样囊肿破裂。随后的椎板切除术显示腰椎硬膜内皮样囊肿破裂，并伴有化学性蛛网膜炎。
