Occult Intrasacral Meningocele with Tethered Cord : Case Report
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概要
- 論文の詳細を見る
A 32-year-old female presented with a history of intermittent, severe lower back pain, exacerbated by pregnancy and persisting for several years. Magnetic resonance (MR) imaging showed a sacral mass as a low signal intensity area on the T_1-weighted image and a high signal intensity area on the T_2-weighted image, consistent with a cystic structure containing cerebrospinal fluid. A tethered cord attached to the thecal sac was also confirmed. Sacral laminectomy revealed thinned sacral vertebral laminae, but no neuronal elements existed within the cyst. The cyst was attached to the distal thecal sac by a small fistula. The thecal sac was explored, revealing a thick filum terminale, which was transected. The severe pain resolved postoperatively. This type of meningeal cyst, often called "occult intrasacral meningocele," is best diagnosed by MR imaging. Surgery to obliterate the fistulous tract is the optimum treatment. Total removal of the cyst is unnecessary, but evaluation of other associated congenial abnormalities is important.
- 日本脳神経外科学会の論文
- 1995-05-15
著者
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MATSUMOTO Kiyoshi
Department of Bioscience and Biotechnology, Faculty of Agriculture, Graduate School, Kyushu Universi
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Toyoda Izumi
Department of Emergency & Disaster Medicine, Gifu University School of Medicine
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Doi Hiroshi
Department Of Cardiology Yokohama Rosai Hospital
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Toyoda Izumi
Departments Of Neurosurgery Showa University School Of Medicine
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IMAI Satoshi
Department of Toxicology, Hoshi University School of Pharmacy and Pharmaceutical Sciences
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SEKIMIZU Masayuki
Departments of Orthopedics, Showa University School of Medicine
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Sekimizu Masayuki
Departments Of Orthopedics Showa University School Of Medicine
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Matsumoto Kiyoshi
Department Of Applied Chemistry Faculty Of Engineering Kanagawa University
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Doi Hiroshi
Department Of Agricultural Chemistry Kyoto Prefectural University
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Doi Hiroshi
Departments Of Neurosurgery Showa University School Of Medicine:(present Address)department Of Neuro
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Matsumoto Kiyoshi
Departments Of Neurosurgery Showa University School Of Medicine
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Imai Satoshi
Departments Of Orthopedics Showa University School Of Medicine
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Imai Satoshi
Department Of Dermatology University Of Occupational And Environmental Health
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