Raftopoulos C, Delecluse F, Braude P, Rodesh C, Brotchi J
Department of Neurosurgery, Université Libre de Bruxelles, Bruxelles, Belgium.
Acta Chir Belg. 1993 Jan-Feb;93(1):1-7.
Anterior sacral meningocele is a not rare entity. Treatment is usually surgical and consists in a transacral posterior approach with patching of the communication between the malformation and the dural sac. But surgery can be difficult and require multiple procedures. We report the first case of a giant anterior sacral meeningocele rapidly cured by a simple endoscopic procedure. We believe that more attention should be used in the diagnosis of such cases as they can be so easily cured. We have reviewed the literature about anterior sacral meningocele and particularly its treatment and its association either with Marfan syndrome or a familial occurrence.
骶前脊膜膨出并非罕见病症。治疗通常采用手术方式,即经骶后路,修补畸形与硬脊膜囊之间的通道。但手术可能具有难度,需要进行多次操作。我们报告首例通过简单内镜手术迅速治愈的巨大骶前脊膜膨出病例。我们认为,对此类易于治愈的病例,在诊断时应予以更多关注。我们回顾了有关骶前脊膜膨出的文献,特别是其治疗方法以及与马凡综合征或家族性发病的关联。