Freidberg S R, Fellows T, Thomas C B, Mancall A C
Department of Neurosurgery, Lahey Clinic, Burlington, Massachusetts.
Neurosurgery. 1994 Jun;34(6):989-93; discussion 993. doi: 10.1227/00006123-199406000-00006.
Epidural cysts, either synovial or ganglion, are an unusual cause of epidural compressive syndromes. We report a series of 26 patients with cysts, including 1 cervical, 2 thoracic, and 23 lumbar. Complaints at the time of admission and findings were similar to those associated with other epidural lesions at the same locations. The surgical technique is similar to that for other spinal lesions, with a wide exposure to enable a clear view of the cyst and surrounding structures, and is governed by imaging studies. Patients with cervical and thoracic lumbar cysts were free of symptoms and signs postoperatively. Of the 23 patients with lumbar cysts, 15 were free of symptoms after an operation, 7 had symptomatic improvement but had some pain and neurological findings, and 1 patient had no improvement. Computed tomography and magnetic resonance imaging permit accurate preoperative evaluation.
硬膜外囊肿，无论是滑膜囊肿还是腱鞘囊肿，都是硬膜外压迫综合征的罕见病因。我们报告了一系列26例囊肿患者，其中1例为颈椎囊肿，2例为胸椎囊肿，23例为腰椎囊肿。入院时的主诉和检查结果与同一部位其他硬膜外病变相关的情况相似。手术技术与其他脊柱病变的手术技术相似，需广泛暴露以清晰观察囊肿及周围结构，并依据影像学检查进行操作。颈椎和胸椎囊肿患者术后无症状和体征。23例腰椎囊肿患者中，15例术后无症状，7例症状改善但仍有一些疼痛和神经学表现，1例患者无改善。计算机断层扫描和磁共振成像可进行准确的术前评估。
