ID | 30758 |
JaLCDOI | |
フルテキストURL | |
著者 |
Nakahara, Shinnosuke
National Okayama Medical Center
Ito, Yauo
Kobe Red Cross Hospital
Nakanishi, Kazuo
Okayama University
Sugimoto, Yoshihisa
Okayama University
Ikuma, Hisanori
Okayama University
|
抄録 | The purpose of this study was to investigate the surgical outcomes and to determine indicators of the necessity of surgical intervention. Twelve consecutive patients harboring symptomatic sacral perineural cysts were treated between 1995 and 2003. All patients were assessed for neurological deficits and pain by neurological examination. Magnetic resonance of imaging, computerized tomography, and myelography were performed to detect signs of delayed filling of the cysts. We performed a release of the valve and imbrication of the sacral cysts with laminectomies in 8 cases or recapping laminectomies in 4 cases. After surgery, symptoms improved in 10 (83%) of 12 patients, with an average follow-up of 27 months. Ten patients had sacral perineural cysts with signs of positive filling defect. Two (17%) of 12 patients experienced no significant improvement. In one of these patients, the filling defect was negative. In conclusion, a positive filling defect may become an indicator of good treatment outcomes. |
キーワード | Tarlov cyst
sacral perineural cyst
meningeal cyst
meningeal diverticulum
sacral radiculopathy
|
Amo Type | Article
|
出版物タイトル |
Acta Medica Okayama
|
発行日 | 2006-02
|
巻 | 60巻
|
号 | 1号
|
出版者 | Okayama University Medical School
|
開始ページ | 65
|
終了ページ | 70
|
ISSN | 0386-300X
|
NCID | AA00508441
|
資料タイプ |
学術雑誌論文
|
言語 |
英語
|
論文のバージョン | publisher
|
査読 |
有り
|
PubMed ID | |
Web of Science KeyUT |