[Intrasacral cysts].

Rev Esp Otoneurooftalmol Neurocir

Published: June 1973

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Introduction: Intrasacral meningoceles are cysts associated with herniating arachnoid with no nerve root within due to an area of weakness of the dura mater. They are thought to be congenital, but they are usually not symptomatic until adulthood. Surgical treatment is generally indicated in the presence of symptoms.

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Tarlov or perineural cysts are cerebrospinal fluid (CSF)-filled sacs found between the perineurium and epineurium of the nerve roots. It is still unsure whether the origin of these cysts is intradural or extradural. They can either be asymptomatic or create a variety of negative impacts on comfort and quality of life.

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Sacral extradural arachnoid cyst in association with split cord malformation.

Spine J

September 2016

Department of Neurosurgery, Children's Hospital Medical Center, Tehran University of Medical Sciences, No. 62, Dr. Gharib St, Keshavarz Blvd, Tehran 14155-7854, Iran.

Background Context: Split cord malformation (SCM) is a congenital disease that can be associated with other spinal anomalies. Few cases of concurrent intradural arachnoid cyst and SCM have been sporadically reported; however, sacral extradural arachnoid cyst (SEAC) with SCM is very rare.

Purpose: The report describes our experience with simultaneous surgery in patients with concurrent SEAC and SCM in an effort to document the treatment of the rare spinal concomitant anomalies.

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Anterior sacral meningocele is a very rare clinical entity characterized by herniation of a meningeal sac through a sacrococcygeal defect. We report a case of a 20-year old female with Marfan syndrome who presented with abdominal distention that was misdiagnosed as an ovarian cyst on pelvic ultrasound. Pelvic magnetic resonance (MR) imaging showed large, well-defined multiloculated intrasacral and presacral cysts communicating via two separate broad necks and extending through defects in anterior aspect of sacral vertebrae.

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Objective: We evaluated the role of screening of the whole spine by sagittal magnetic resonance imaging (MRI) along with MR myelography in early detection and management of occult intrasacral meningocele.

Materials And Methods: A prospective and retrospective analysis of MRI and MR myelography studies of the whole spine over a period of one year was performed.

Results: Thirty cases with sacral meningeal cysts were seen.

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