国家神经系统疾病临床医学研究中心数据管理与共享系统
Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases
2015-02-24
已发表文章
主要研究背景及目的
方法
A 23-year-old woman presented with a 3-month history of increasing weakness and numbness of bilateral legs and dysuria. MRI demonstrated an extensive spinal dorsal cystic lesion from C7 to L2 (figure, A and B). The patient underwent a T9-11 laminectomy, and a cyst-peritoneal shunt was performed using a catheter. Pathology confirmed a diagnosis of arachnoid cyst (figure, C). The cyst reduced in size significantly (figure, D), and the patient is asymptomatic over a 42-month follow-up. Intraspinal arachnoid cysts extending to more than 10 vertebral segments are rare, and cyst peritoneal shunt for mass effect relief is recommended when complete resection is difficult.
结论
A 23-year-old woman presented with a 3-month history of increasing weakness and numbness of bilateral legs and dysuria. MRI demonstrated an extensive spinal dorsal cystic lesion from C7 to L2 (figure, A and B). The patient underwent a T9-11 laminectomy, and a cyst-peritoneal shunt was performed using a catheter. Pathology confirmed a diagnosis of arachnoid cyst (figure, C). The cyst reduced in size significantly (figure, D), and the patient is asymptomatic over a 42-month follow-up. Intraspinal arachnoid cysts extending to more than 10 vertebral segments are rare, and cyst peritoneal shunt for mass effect relief is recommended when complete resection is difficult.
主要结果
A 23-year-old woman presented with a 3-month history of increasing weakness and numbness of bilateral legs and dysuria. MRI demonstrated an extensive spinal dorsal cystic lesion from C7 to L2 (figure, A and B). The patient underwent a T9-11 laminectomy, and a cyst-peritoneal shunt was performed using a catheter. Pathology confirmed a diagnosis of arachnoid cyst (figure, C). The cyst reduced in size significantly (figure, D), and the patient is asymptomatic over a 42-month follow-up. Intraspinal arachnoid cysts extending to more than 10 vertebral segments are rare, and cyst peritoneal shunt for mass effect relief is recommended when complete resection is difficult.