Journal of Korean Neurosurgical Society

  • 제45권3호
  • /
  • Pages.185-187
  • /
  • 2009
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Sacral Perineural Cyst Accompanying Disc Herniation

  • Ju, Chang-Il (Department of Neurosurgery, School of Medicine, Chosun University) ;
  • Shin, Ho (Department of Neurosurgery, School of Medicine, Chosun University) ;
  • Kim, Seok-Won (Department of Neurosurgery, School of Medicine, Chosun University) ;
  • Kim, Hyeun-Sung (Department of Neurosurgery, Mokpo Han Kook Hospital)
  • 발행 : 2009.03.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Although most of sacral perineural cysts are asymptomatic, some may produce symptoms. Specific radicular pain may be due to distortion, compression, or stretching of nerve root by a space occupying cyst. We report a rare case of S1 radiculopathy caused by sacral perineural cyst accompanying disc herniation. The patient underwent a microscopic discectomy at L5-S1 level. However, the patient's symptoms did not improved. The hypesthesia persisted, as did the right leg pain. Cyst-subarachnoid shunt was set to decompress nerve root and to equalize the cerebrospinal fluid pressure between the cephalad thecal sac and cyst. Immediately after surgery, the patient had no leg pain. After 6 months, the patient still remained free of leg pain.

키워드

참고문헌

  1. Acosta FL Jr, Quinones-Hinojosa A, Schmidt MH, Weinsten PR : Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurg Focus 15 : E15, 2003
  2. ArunKumar MJ, Selvapandian S, Chandy MJ : Sacral nerve root cysts : a review on pathophysiology. Neurol India 47 : 61-64, 1999
  3. Gortvai P : Extradural cysts of the spinal canal. J Neurol Neurosurg Psychiatry 26 : 223-230, 1963 https://doi.org/10.1136/jnnp.26.3.223
  4. Goyal RN, Russell NA, Benoit BG, Belanger JM : Intraspinal cysts : a classification and literature review. Spine 12 : 209-213, 1987 https://doi.org/10.1097/00007632-198704000-00003
  5. Jain SK, Chopra S, Bagaria H, Mathur PP : Sacral perineural cyst presenting as chronic perineal pain : a case report. Neurol India 50 : 514-515, 2002
  6. Kayali H, Duz b, Gonul E : Symptomatic sacral Tarlov cyst : Case report. Jankara Medical School 25 : 103-106, 2003
  7. Kunz U, Mauer UM, Waldbaur H : Lumbosacral extradural arachnoid cysts : diagnostic and indication for surgery. Eur Spine J 8 : 218-222, 1999 https://doi.org/10.1007/s005860050161
  8. Langdown AJ, Grundy JR, Birch NC : The clinical relevance of Tarlov cysts. J Spinal Disord Tech 18 : 29-33, 2005 https://doi.org/10.1097/01.bsd.0000133495.78245.71
  9. Lee JY, Impekoven P, Stenzel W, L$\ddot{o}$hr M, Ernestus RI, Klug N : CT-guided percutaneous aspiration of Tarlov cyst as a useful diagnostic procedure prior to operative intervention. Acta Neurochir (Wien) 146 : 667-670, 2004
  10. Lim KT, Cho BM, Shin DI, Park SH, Oh SM : Symptomatic Tarlov's Cyst (Sacral Meningeal Cyst).-Case Report-. J Korean Neurosurg Soc 29 : 569-573, 2000
  11. Morio Y, Nanjo Y, Nagashima H, Minamizaki T, Teshima R : Sacral cyst managed with cyst-subarachnoid shunt : a technical case report. Spine 26 : 451-453, 2001 https://doi.org/10.1097/00007632-200102150-00025
  12. Nabors MW, Pait TG, Byrd EB, Karim NO, Davis DO, Kobrine AI, et al : Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 68 : 366-377, 1988 https://doi.org/10.3171/jns.1988.68.3.0366
  13. Nishiura I, Koyama T, Handa J : Intrasacral perineurial cyst. Surg Neurol 23 : 265-269, 1985 https://doi.org/10.1016/0090-3019(85)90093-X
  14. Patel MR, Louie W, Rachlin J : Percutaneous fibrin glue therapy of meningeal cysts of the sacral spine. AJR Am J Roentgenol 168 : 367-370, 1997
  15. Raftopoulos C, Pierard GE, Retif C, Braude P, Brotchi J : Endoscopic cure of a giant sacral meningocele associated with Marfan's syndrome : case report. Neurosurgery 30 : 765-768, 1992 https://doi.org/10.1227/00006123-199205000-00020
  16. Tarlov IM : Perineurial cysts of the spinal nerve roots. AMA Arch Neurol Psychiatry 40 : 1607-1074, 1938

피인용 문헌

  1. Surgical Treatment of Sacral Perineural Cyst vol.51, pp.12, 2009, https://doi.org/10.2176/nmc.51.867
  2. Tarlov cysts: a controversial lesion of the sacral spine vol.31, pp.6, 2009, https://doi.org/10.3171/2011.9.focus11221
  3. A symptomatic lumbosacral perineural cyst -A case report- vol.62, pp.5, 2012, https://doi.org/10.4097/kjae.2012.62.5.493
  4. Perineural cyst presenting like cubital tunnel syndrome vol.21, pp.suppl4, 2012, https://doi.org/10.1007/s00586-011-1839-x
  5. Clinical Experience of Symptomatic Sacral Perineural Cyst vol.25, pp.3, 2009, https://doi.org/10.3344/kjp.2012.25.3.191
  6. Reconstruction of nerve root sheaths for sacral extradural spinal meningeal cysts with spinal nerve root fibers. vol.56, pp.11, 2009, https://doi.org/10.1007/s11427-013-4536-7
  7. Comparative Outcomes of the Two Types of Sacral Extradural Spinal Meningeal Cysts Using Different Operation Methods: A Prospective Clinical Study vol.8, pp.12, 2009, https://doi.org/10.1371/journal.pone.0083964
  8. Symptomatic perineural cyst: report of two cases treated with cyst-subarachnoid shunts vol.23, pp.suppl2, 2009, https://doi.org/10.1007/s00586-014-3259-1
  9. Neck transfixion for sacral extradural spinal meningeal cysts without spinal nerve root fibers vol.25, pp.6, 2009, https://doi.org/10.1007/s00586-014-3471-z
  10. Surgical management of sacral meningeal cysts by obstructing the communicating holes with muscle graft vol.20, pp.1, 2009, https://doi.org/10.1186/s12891-019-2998-x