LeDoux M S, Faye-Petersen O M, Aronin P A, Vaid Y N, Pitts R M
Division of Neurosurgery, University of Alabama, Birmingham.
J Neurosurg. 1993 May;78(5):821-5. doi: 10.3171/jns.1993.78.5.0821.
The case of a combined intra- and extraspinal neurenteric cyst in an infant is reported. This case is unique because an intraspinal cyst was not suspected clinically until large numbers of squamous epithelial cells were obtained at lumbar puncture performed as part of a workup for a septic entity. The cyst extended from an intradural location ventral to the conus medullaris at L-1 through a ventrolateral defect in the S-4 vertebral body to communicate with a large presacral component. The entire cystic cavity was lined by stratified squamous epithelium. The possible pathogenesis of this lesion is discussed.
报道了1例婴儿合并椎管内和椎管外神经肠囊肿的病例。该病例较为独特，因为在作为脓毒症实体检查一部分进行的腰椎穿刺获得大量鳞状上皮细胞之前，临床上并未怀疑存在椎管内囊肿。囊肿从L-1脊髓圆锥腹侧的硬膜内位置通过S-4椎体的腹外侧缺损延伸，与一个大的骶前成分相通。整个囊腔内衬有复层鳞状上皮。讨论了该病变可能的发病机制。
