Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases
essential_information
2014-06-01
Published articles
Journal：Neurol India
Publication type: Case Report
IF(IF): 2.117
PMID: 25033873 Link To Pubmed Full text Download
Background And Purpose
Method
the cyst wall and the osmotic transport of water into the cyst are thought to induce cyst formation.[2] Cystic lesions are a diagnostic challenge and may be diagnosed as neurenteric cysts, especially when intermittent pain is the main symptom.[3] A hypointense hemosiderin ring, which surrounds the lesion is considered to be a typical characteristic of CAs.
Conclusion
Surgeons should keep cystic CAs in the differential diagnosis, because the lesions are highly vascularized and they tend to develop intraoperative hemorrhage. Generally, en bloc resection to avoid severe bleeding should be attempted, and resection of the thin rootlets did not compromise good postoperative recovery.Cystic CA of the cauda equina, although a rare entity, must be added to the differential diagnosis of cystic spinal lesions.
Main results
En bloc resection was achieved after cutting off the attached nerve rootlets [Figure 2]. There was significant improvement of pain of both the legs after the surgery.Pathology revealed a CA [Figure 3]. Postoperative MRI showed no recurrence.