Presacral mass consisting of a meningocele and a Tarlov cyst: successful surgical treatment based on pathogenic hypothesis.
This illustrative case shows a meningocele created by erosion of the sacrum by a perineurial cyst. It is the first report of a large presacral mass consisting of a perineurial cyst and a meningocele simultaneously. We describe a hypothesis for the pathogenesis of this particular constellation of circumstances and present a successful surgical option based on the assumed pathogenesis.
Hefti
M
M
Department of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland. martin.hefti@ksa.ch
Landolt
H
H
D001416:Back Pain / Q000209:etiology; D019299:Decompression, Surgical / Q000379:methods; D004388:Dura Mater / Q000473:pathology / Q000503:physiopathology; D005727:Ganglia, Spinal / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008588:Meningocele / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D008875:Middle Aged; D008959:Models, Neurological; D009192:Myelography; D019635:Neurosurgical Procedures / Q000379:methods; D010388:Pelvis / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D010525:Peripheral Nerves / Q000473:pathology / Q000503:physiopathology; D012447:Sacrum / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D013115:Spinal Canal / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D013127:Spinal Nerves / Q000473:pathology / Q000503:physiopathology; D052958:Tarlov Cysts / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology