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Surgical Treatment of Ten Adults with Spinal Extradural Meningeal Cysts in the Thoracolumbar Spine

Journal of Korean Neurosurgical Society 2021년 64권 2호 p.238 ~ 246
Xu Feifan, Jian Fengzeng, Li Liang, Guan Jian, Chen Zan,
소속 상세정보
 ( Xu Feifan ) - Peking University First Hospital Department of Neurosurgery
 ( Jian Fengzeng ) - Capital Medical University Xuanwu Hospital Department of Neurosurgery
 ( Li Liang ) - Peking University First Hospital Department of Neurosurgery
 ( Guan Jian ) - Capital Medical University Xuanwu Hospital Department of Neurosurgery
 ( Chen Zan ) - Capital Medical University Xuanwu Hospital Department of Neurosurgery

Abstract


Objective : To retrospectively analyze the clinical characteristics and surgical experience of 10 adults with spinal extradural meningeal cysts (SEMCs) in the thoracolumbar spine which may further provide evidence for surgical decision-making.

Methods : Ten adults with SEMCs in the thoracolumbar spine were surgically treated and enrolled in this study. Clinical manifestations, imaging data, intraoperative findings and postoperative outcome were recorded.

Results : Clinical manifestations of SEMCs included motor and sensory dysfunction of the lower limbs and urination and defecation disturbance. The cysts presented as intraspinal occupying lesions dorsal to the spine, ranging from the T8 to L3 level. Defects of eight cases were found on preoperative magnetic resonance imaging (MRI). Selective hemilaminectomy or laminectomy were used to reveal the defect within the cyst, which was further sutured with microscopic technique. The final outcome was excellent or good in seven cases and fair in three cases. No recurrence was observed during follow-up.

Conclusion : SEMCs are rare intraspinal cystic lesions. Radiography and MRI are clinically practical methods to assess defects within SEMCs. Selective hemilaminectomy or laminectomy may reduce surgical trauma. Detection and microscopic suturing of the defects are the key steps to adequately decompress the nervous tissue and prevent postoperative recurrence.

키워드

Spinal extradural meningeal cysts; Dural defect; Dural diverticula; Surgery; Thoracolumbar

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