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Diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note
OBJECTIVE: There is agreement that symptomatic sacral meningeal cysts with a check-valve mechanism and/or large cysts representing space-occupying lesions should be treated surgically. This study investigated factors indicating a need for surgical intervention and surgical techniques for sacral meni...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3552371/ https://www.ncbi.nlm.nih.gov/pubmed/23160631 http://dx.doi.org/10.1007/s00701-012-1550-7 |
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author | Asamoto, Shunji Fukui, Yasuyuki Nishiyama, Makoto Ishikawa, Masayuki Fujita, Nobuyuki Nakamura, Satoshi Muto, Jun Shiono, Yuta Doi, Hiroshi Kubota, Motoo Ishii, Kazuhiko |
author_facet | Asamoto, Shunji Fukui, Yasuyuki Nishiyama, Makoto Ishikawa, Masayuki Fujita, Nobuyuki Nakamura, Satoshi Muto, Jun Shiono, Yuta Doi, Hiroshi Kubota, Motoo Ishii, Kazuhiko |
author_sort | Asamoto, Shunji |
collection | PubMed |
description | OBJECTIVE: There is agreement that symptomatic sacral meningeal cysts with a check-valve mechanism and/or large cysts representing space-occupying lesions should be treated surgically. This study investigated factors indicating a need for surgical intervention and surgical techniques for sacral meningeal cysts with a check-valve mechanism. METHODS: In ten patients presenting with sciatica and neurological deficits, myelography, computed tomography (CT) myelography, and magnetic resonance imaging (MR imaging) detected sacral meningeal cysts with a check-valve mechanism. One patient had two primary cysts. Ten cysts were type 2 and one cyst was type 1. Nine of the ten patients had not undergone previous surgery, while the remaining case involved recurrent cyst. For the seven patients with normal (i.e., not huge or recurrent) type 2 cysts and no previous surgery (eight cysts), suture after collapse of the cyst wall was performed. For the recurrent type 2 cyst, duraplasty and suture with collapse of the cyst wall were performed to eliminate the check-valve mechanism. For the remaining type 2 cyst, a primary root was sacrificed because of the huge size of the cyst. For the type 1 cyst, the neck of the cyst was ligated. RESULTS: In all cases, chief complaints disappeared immediately postoperatively and no deterioration of clinical symptoms has been seen after a mean follow-up of 27 months. CONCLUSIONS: The presence or absence of a check-valve mechanism is very important in determining the need for surgical intervention for sacral meningeal cysts. |
format | Online Article Text |
id | pubmed-3552371 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-35523712013-01-24 Diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note Asamoto, Shunji Fukui, Yasuyuki Nishiyama, Makoto Ishikawa, Masayuki Fujita, Nobuyuki Nakamura, Satoshi Muto, Jun Shiono, Yuta Doi, Hiroshi Kubota, Motoo Ishii, Kazuhiko Acta Neurochir (Wien) Technical Note - Neurosurgical Techniques OBJECTIVE: There is agreement that symptomatic sacral meningeal cysts with a check-valve mechanism and/or large cysts representing space-occupying lesions should be treated surgically. This study investigated factors indicating a need for surgical intervention and surgical techniques for sacral meningeal cysts with a check-valve mechanism. METHODS: In ten patients presenting with sciatica and neurological deficits, myelography, computed tomography (CT) myelography, and magnetic resonance imaging (MR imaging) detected sacral meningeal cysts with a check-valve mechanism. One patient had two primary cysts. Ten cysts were type 2 and one cyst was type 1. Nine of the ten patients had not undergone previous surgery, while the remaining case involved recurrent cyst. For the seven patients with normal (i.e., not huge or recurrent) type 2 cysts and no previous surgery (eight cysts), suture after collapse of the cyst wall was performed. For the recurrent type 2 cyst, duraplasty and suture with collapse of the cyst wall were performed to eliminate the check-valve mechanism. For the remaining type 2 cyst, a primary root was sacrificed because of the huge size of the cyst. For the type 1 cyst, the neck of the cyst was ligated. RESULTS: In all cases, chief complaints disappeared immediately postoperatively and no deterioration of clinical symptoms has been seen after a mean follow-up of 27 months. CONCLUSIONS: The presence or absence of a check-valve mechanism is very important in determining the need for surgical intervention for sacral meningeal cysts. Springer Vienna 2012-11-17 2013 /pmc/articles/PMC3552371/ /pubmed/23160631 http://dx.doi.org/10.1007/s00701-012-1550-7 Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Technical Note - Neurosurgical Techniques Asamoto, Shunji Fukui, Yasuyuki Nishiyama, Makoto Ishikawa, Masayuki Fujita, Nobuyuki Nakamura, Satoshi Muto, Jun Shiono, Yuta Doi, Hiroshi Kubota, Motoo Ishii, Kazuhiko Diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note |
title | Diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note |
title_full | Diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note |
title_fullStr | Diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note |
title_full_unstemmed | Diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note |
title_short | Diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note |
title_sort | diagnosis and surgical strategy for sacral meningeal cysts with check-valve mechanism: technical note |
topic | Technical Note - Neurosurgical Techniques |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3552371/ https://www.ncbi.nlm.nih.gov/pubmed/23160631 http://dx.doi.org/10.1007/s00701-012-1550-7 |
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