Maciejczak A, Radek A
Kliniki Neurochirurgii Wojskowej Akademii Medycznej, Lodzi.
Neurol Neurochir Pol. 1993 May-Jun;27(3):437-42.
The authors present a case of sacral meningeal cyst (s.m.c.) being the cause of chronic pain related to perineal, sacral and pelvic regions. The aim of the report is to emphasize the role played by s.m.c. in the aetiology of pain arising in these regions. As it can result from a wide variety of pathologies, like gynaecological, urological and anorectal the differential diagnosis is very difficult. Until recent years s.m.c. was rarely encountered in clinical practice and identified as a cause of chronic pain in perineal, sacral or pelvic areas. Now in the era of MRI and with increasing access to sophisticated imaging diagnostic methods s.m.c. will probably be recognized in more cases of perineal, sacral or pelvic pain.
作者报告了一例骶部脑脊膜囊肿(s.m.c.)导致会阴、骶部和盆腔区域慢性疼痛的病例。本报告的目的是强调s.m.c.在这些区域疼痛病因中所起的作用。由于它可能由多种病理情况引起,如妇科、泌尿科和肛肠疾病,鉴别诊断非常困难。直到近年来,s.m.c.在临床实践中很少遇到,并且很少被确定为会阴、骶部或盆腔区域慢性疼痛的原因。现在,在磁共振成像(MRI)时代,随着越来越多地使用先进的影像诊断方法,s.m.c.可能会在更多会阴、骶部或盆腔疼痛病例中被识别出来。