Mendel E, Lese G B, Gonzalez-Gomez I, Nelson M D, Raffel C
Division of Neurosurgery, Children's Hospital, Los Angeles, California.
Neurosurgery. 1994 Dec;35(6):1159-62; discussion 1162-3. doi: 10.1227/00006123-199412000-00023.
A case of an isolated intraspinal lumbosacral neurenteric cyst in a 5-year-old girl with partial sacral agenesis is reported. The cyst wall contained transitional epithelium and smooth muscle characteristic of the urinary bladder, suggesting a possible cloacal origin of the cyst. No prior cases of concomitant neurenteric cysts with partial or complete sacral agenesis have been reported, and the occurrence of an isolated intradural extramedullary sacral neurenteric cyst is rare. The possible pathogenesis of this lesion is described.
报告了一例5岁女童孤立性腰骶部脊髓内神经肠囊肿合并部分骶骨发育不全的病例。囊肿壁包含膀胱特有的移行上皮和平滑肌,提示囊肿可能起源于泄殖腔。此前未见有合并部分或完全骶骨发育不全的神经肠囊肿病例报道,且孤立性硬脊膜内髓外骶骨神经肠囊肿的发生较为罕见。本文描述了该病变可能的发病机制。