Symptomatic idiopathic noncommunicating intradural arachnoid cyst of the S1 nerve root: a case report.

Abstract:

STUDY DESIGN:A case report of a rare symptomatic, idiopathic, noncommunicating intradural arachnoid cyst (IAC) of the proximal part of the S1 nerve root (NR). OBJECTIVE:To discuss the possible pathophysiology, clinical and magnetic resonance imaging (MRI) presentation, intraoperative findings, and follow-up of IAC of the proximal part of the S1 NR. SUMMARY OF BACKGROUND DATA:Rare variety of the Nabors's Type 3 spinal IAC. The etiopathogenesis are uncertain. Surgical NR decompression with extirpation of the cyst is the treatment of choice. METHODS:A 37-year-old woman clinically presented as monoradiculopathy with a 9-month history of progressive, posture-dependent radicular pain, paresthesia and hypoesthesia in the right S1 dermatome, and mild weakness of the ipsilateral plantar flexors. Magnetic resonance imaging (MRI) showed a noncommunicating IAC of the proximal part of the S1 NR on the right side. Surgical exploration through the ipsilateral L5-S1 hemilaminectomy was performed with microsurgical arachnolysis of the compressed and stretched S1 NR fascicles that surrounded the cyst, during which the cyst spontaneously collapsed. The remnant of the cyst wall was extirpated and histopathology confirmed the diagnosis. RESULTS:After surgery an excellent clinical outcome was archived: the leg pain was no longer present and the paraesthesia, hypoesthesia, and motor weakness were resolved within 3 months. At 12 months of follow-up, the patient continues to be completely asymptomatic with no evidence of recurrence on MRI. CONCLUSION:A rare case of symptomatic, idiopathic, noncommunicating IAC of the proximal part of the S1 NR has been presented. Early recognition and treatment resulted in complete symptom resolution, with preservation of the full working capacity and good quality of life. Isolated monoradiculopathy with progressive, posture-dependent radicular pain seem to be typical clinical findings for such a lesion. Attending physicians should always be mindful of this fact in the total clinical evaluation of such cases.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Peric P,Antic B,Radosavljevic A,Tasic-Radic O,Arsic S

doi

10.1097/BRS.0b013e3181fd679a

subject

Has Abstract

pub_date

2011-06-15 00:00:00

pages

E979-82

issue

14

eissn

0362-2436

issn

1528-1159

journal_volume

36

pub_type

杂志文章

相关文献

SPINE文献大全
  • Biomechanics of changes in lumbar posture in static lifting.

    abstract:STUDY DESIGN:In vivo measurements and model studies are combined to investigate the role of lumbar posture in static lifting tasks. OBJECTIVES:Identification of the role of changes in the lumbar posture on muscle forces, internal loads, and system stability in static lifting tasks with and without load in hands. SUMM...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000187907.02910.4f

    authors: Arjmand N,Shirazi-Adl A

    更新日期:2005-12-01 00:00:00

  • The thoracolumbar and lumbosacral transitional junctions.

    abstract::Correct dermatome identification is essential to reduce nomenclature and surgical errors, to improve neurologic correlation, and to produce accurate statistics regarding low-back problems. The phylogenetic category of the spine must be known and junctional transitional vertebrae within the column properly identified a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198005000-00003

    authors: Wigh RE

    更新日期:1980-05-01 00:00:00

  • Preoperative serum albumin level as a predictor of postoperative complication after spine fusion.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To investigate the association between preoperative baseline serum albumin and postoperative surgical complication. SUMMARY OF BACKGROUND DATA:The prevalence of malnutrition in the hospitalized patient population has only been recently recognized. Preoperative hypoal...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000450

    authors: Adogwa O,Martin JR,Huang K,Verla T,Fatemi P,Thompson P,Cheng J,Kuchibhatla M,Lad SP,Bagley CA,Gottfried ON

    更新日期:2014-08-15 00:00:00

  • Tuberculosis of the arch of the atlas. Case report.

    abstract::This rare case of tuberculosis of the arch of atlas illustrates the potential difficulties in making a clinical diagnosis of tuberculosis of the upper cervical spine. Plain roentgenograms may not demonstrate an early lesion of the neural arch, and CT is a valuable adjunct. The use of a halo vest proved a successful al...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198707000-00022

    authors: Corea JR,Tamimi TM

    更新日期:1987-07-01 00:00:00

  • Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study.

    abstract:STUDY DESIGN:Population-based, case-control and case-crossover study. OBJECTIVE:To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary care physician (PCP) visits and VBA stroke. SUMMARY OF BACKGROUND DATA:Chiropractic care is popular for neck...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181644600

    authors: Cassidy JD,Boyle E,Côté P,He Y,Hogg-Johnson S,Silver FL,Bondy SJ

    更新日期:2008-02-15 00:00:00

  • Surgical mystery: where is the missing pituitary rongeur tip?

    abstract:STUDY DESIGN:Case report. OBJECTIVE:We report the unusual case of a patient who was referred to our institution after she sustained an intraoperative injury to the common iliac vein during posterior lumbar discectomy at L5-S1 with a pituitary rongeur. There was only minimal bleeding with spontaneous hemostasis and no ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181d85bec

    authors: Bydon A,Xu R,Conte JV,Gokaslan ZL,Brinker JA,Witham TF,Yassari R

    更新日期:2010-08-01 00:00:00

  • Nerve root compression by a ganglion cyst of the lumbar anulus fibrosus. A case report.

    abstract:STUDY DESIGN:A case report of a ganglion cyst rising from the anulus pulposus, causing lumbar nerve root compression. OBJECTIVES:A rare pathologic condition causing sciatica is described. The pathologic anatomy and the magnetic resonance image of the lesion is discussed. SUMMARY OF BACKGROUND DATA:A 35-year-old man w...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199507150-00013

    authors: Kornberg M

    更新日期:1995-07-15 00:00:00

  • Minimally invasive anterior retroperitoneal approach to the lumbar spine. Emphasis on the lateral BAK.

    abstract:STUDY DESIGN:Eighteen patients with lumbar instability from fractures, postlaminectomy syndrome, or infection were treated prospectively with minimally invasive retroperitoneal lumbar fusions. OBJECTIVES:To determine if interbody Bagby and Kuslich fusion cages and femoral allograft bone dowels can be inserted in a tra...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199807010-00009

    authors: McAfee PC,Regan JJ,Geis WP,Fedder IL

    更新日期:1998-07-01 00:00:00

  • The use of dermatomal evoked responses during surgical procedures that use intrapedicular fixation of the lumbosacral spine.

    abstract::Monitoring of electrophysiologic function during intrapedicular fixation of the lumbosacral spine can be useful because this fixation technique has been associated with a significant number of postoperative radicular complications. Somatosensory evoked potentials (SEPs) traditionally have been used to monitor neurolog...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199312000-00006

    authors: Toleikis JR,Carlvin AO,Shapiro DE,Schafer MF

    更新日期:1993-12-01 00:00:00

  • Bilateral pedicular stress fractures after successful posterior spinal fusion for adult idiopathic scoliosis.

    abstract::A patient with adult idiopathic scoliosis who was successfully treated with posterior spinal fusion with segmental instrumentation from T3 to L4 is presented. One year after surgery fractures of both L4 pedicles developed, which were managed nonoperatively. Clinical union was achieved in 2 months and the patient was f...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199307000-00016

    authors: Tribus CB,Bradford DS

    更新日期:1993-07-01 00:00:00

  • Anterior interbody fusion of the cervical spine with coralline hydroxyapatite.

    abstract:STUDY DESIGN:A nonrandomized, retrospective human study of patients requiring anterior discectomy and reconstruction from C3 to T1. The pattern of incorporation, presence or absence of disc space collapse, maintenance of correction, and clinical outcomes were considered. OBJECTIVE:To determine the efficacy of corallin...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199907010-00005

    authors: Thalgott JS,Fritts K,Giuffre JM,Timlin M

    更新日期:1999-07-01 00:00:00

  • Granulocyte Colony-Stimulating Factor Improves Motor Function in Rats Developing Compression Myelopathy.

    abstract:STUDY DESIGN:Basic animal research. OBJECTIVE:The effects of granulocyte colony-stimulating factor (G-CSF) were assessed in a rat chronic spinal cord compression model to explore the potential of G-CSF as a pharmacological treatment for cervical spondylotic myelopathy. SUMMARY OF BACKGROUND DATA:G-CSF is a hematopoie...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001659

    authors: Yoshizumi T,Murata H,Yamamoto S,Kurokawa R,Kim P,Kawahara N

    更新日期:2016-12-01 00:00:00

  • Hypertrophic spinal pachymeningitis.

    abstract::A patient with idiopathic hypertrophic spinal pachymeningitis (HSP) with predominant involvement of the cervical and thoracic dura is reported. Serial magnetic resonance (MR) images detected isolated thickening and ridges of the dura mater. There has been no report describing the serial changes of MR images in idiopat...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199403000-00021

    authors: Mikawa Y,Watanabe R,Hino Y,Hirano K

    更新日期:1994-03-01 00:00:00

  • Does symptom duration correlate negatively with outcome after posterior lumbar interbody fusion for chronic low back pain?

    abstract:STUDY DESIGN:Original report. OBJECTIVE:To investigate the putative negative correlation between the duration of symptoms (DOS) and outcome after surgery for chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA:Posterior lumbar interbody fusion (PLIF) is a well established treatment for CLBP. Anecdotally, a prolo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181bb8ebd

    authors: Marshman LA,Kasis A,Krishna M,Bhatia CK

    更新日期:2010-03-15 00:00:00

  • A comprehensive study of physical parameters, biomechanical properties, and statistical correlations of iliac crest bone wedges used in spinal fusion surgery. III. Multivariable regression analysis and practical formulas for strength prediction.

    abstract::Iliac crest wedges are commonly used in spinal fusion procedures and must be capable of withstanding considerable mechanical stress during the healing process. Physical parameters, mechanical properties, correlations among physical parameters, and correlations of mechanical properties versus physical parameters have b...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199402000-00007

    authors: Zhang Y,Wolfinbarger L Jr

    更新日期:1994-02-01 00:00:00

  • Function Preservation or Oncological Appropriateness in Spinal Bone Tumors?: A Case Series of Segmental Resection of the Spinal Canal Content (Spinal Amputation).

    abstract:STUDY DESIGN:Retrospective review of prospectively collected data. OBJECTIVE:To evaluate (1) if the segmental resection of the content of the spinal canal could provide an Enneking appropriate tumor-free margin for local control of primary bone tumors surrounding and invading the canal and (2) the safety profile of th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003356

    authors: Girolami M,Boriani S,Ghermandi R,Bandiera S,Barbanti-Brodano G,Terzi S,Tedesco G,Evangelisti G,Pipola V,Ricci A,Cecchinato R,Gasbarrini A

    更新日期:2020-05-15 00:00:00

  • Morphometric analysis of the ventral nerve roots and retroperitoneal vessels with respect to the minimally invasive lateral approach in normal and deformed spines.

    abstract:STUDY DESIGN:A morphometric analysis, using magnetic resonance imaging (MRI) studies of the lumbar spine. OBJECTIVE:To identify the anatomic position of the ventral root and the retroperitoneal vessels in relation to the vertebral body in normally aligned and deformed spines. SUMMARY OF BACKGROUND DATA:The lateral ap...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181a029e1

    authors: Regev GJ,Chen L,Dhawan M,Lee YP,Garfin SR,Kim CW

    更新日期:2009-05-20 00:00:00

  • Impact of Smoking on 30-day Morbidity and Mortality in Adult Spinal Deformity Surgery.

    abstract:STUDY DESIGN:A retrospective cohort study of a prospectively collected surgical database. OBJECTIVE:The aim of this study was to investigate the effect of smoking on 30-day morbidity and mortality in patients undergoing surgery for adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA:There is conflicting evidence...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000001795

    authors: De la Garza Ramos R,Goodwin CR,Qadi M,Abu-Bonsrah N,Passias PG,Lafage V,Schwab F,Sciubba DM

    更新日期:2017-04-01 00:00:00

  • Differences in the work-up and treatment of conditions associated with low back pain by patient gender and ethnic background.

    abstract:STUDY DESIGN:Retrospective review comparing physician workup of degenerative lumbosacral pathologies between different genders and ethnic groups. OBJECTIVES:To investigate whether patient ethnicity and gender influence the workup and treatment of degenerative spinal pathologies. SUMMARY OF BACKGROUND DATA:Data from n...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.brs.0000152115.79236.6e

    authors: Taylor BA,Casas-Ganem J,Vaccaro AR,Hilibrand AS,Hanscom BS,Albert TJ

    更新日期:2005-02-01 00:00:00

  • Spinal cord injury. Review of basic and applied research.

    abstract::This review examines, in a condensed manner, many of the major achievements related to spinal cord injury research during the last quarter century. Most of the advances have been made within the past 10 years. They include such basic and clinical tools as evoked potentials, regional and local spinal blood flows, neuro...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:

    authors: de la Torre JC

    更新日期:1981-07-01 00:00:00

  • Clinical and radiographic evaluation of disc excision for lumbar disc herniation with and without posterolateral fusion.

    abstract:STUDY DESIGN:A prospective study evaluating the clinical and radiographic results in 95 patients with lumbar disc herniation. OBJECTIVES:To evaluate the results of disc excision, with and without posterolateral fusion. SUMMARY OF BACKGROUND DATA:The effect of posterolateral fusion on the outcomes and radiologic chang...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200002150-00010

    authors: Takeshima T,Kambara K,Miyata S,Ueda Y,Tamai S

    更新日期:2000-02-15 00:00:00

  • Pain and psychologic symptoms of Australian patients with whiplash.

    abstract:STUDY DESIGN:A survey of pain intensity and psychological symptoms in patients with chronic neck pain after whiplash injury. OBJECTIVES:To describe the pain and psychological profiles of patients with chronic whiplash. SUMMARY OF BACKGROUND DATA:Reports in the literature mention a constellation of symptoms associated...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199604010-00006

    authors: Wallis BJ,Lord SM,Barnsley L,Bogduk N

    更新日期:1996-04-01 00:00:00

  • Morphometric evaluation of the cervico-thoracic junction. Practical considerations for posterior fixation of the spine.

    abstract:STUDY DESIGN:Linear and angular measurements were performed on 128 vertebrae (16 spines) from C5 to T5. OBJECTIVES:Vertebrae were studied to characterize vertebral shape and size changes in the cervico-thoracic region. SUMMARY OF BACKGROUND DATA:Analysis of vertebral anatomy has been extensive and well characterized....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199409150-00014

    authors: Stanescu S,Ebraheim NA,Yeasting R,Bailey AS,Jackson WT

    更新日期:1994-09-15 00:00:00

  • Lumbar spine surgery in the elderly. Complications and surgical results.

    abstract:STUDY DESIGN:Diagnosis, postoperative complications, and surgical results in patients over 70 years old who underwent surgery for lumbar nerve root compression of a degenerative origin were evaluated in a prospective, consecutive study. SUMMARY OF BACKGROUND DATA:Of the 50 patients investigated, 43 suffered from centr...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199407000-00001

    authors: Jönsson B,Strömqvist B

    更新日期:1994-07-01 00:00:00

  • Surgical anatomy of the vertebral arteries.

    abstract:STUDY DESIGN:This study compared direct measurements of the distances between the vertebral arteries in the cervical spines of human cadaver specimens with data obtained from axial computed tomography images of these specimens. OBJECTIVE:To determine whether the information obtained from a computed tomography scan can...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199609150-00004

    authors: Heary RF,Albert TJ,Ludwig SC,Vaccaro AR,Wolansky LJ,Leddy TP,Schmidt RR

    更新日期:1996-09-15 00:00:00

  • Basic fibroblast growth factor immunoreactivity in blood vessels and cells of disc herniations.

    abstract:STUDY DESIGN:Basic fibroblast growth factor immunoreactivity was studied in disc herniation tissue. OBJECTIVES:The first objective was to analyze in which tissue components, if any, fibroblast growth factor is expressed in the disc herniation. The second objective was to compare such expression with that in fresh cada...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199502000-00003

    authors: Tolonen J,Grönblad M,Virri J,Seitsalo S,Rytömaa T,Karaharju E

    更新日期:1995-02-01 00:00:00

  • Anti-TNF-alpha antibody reduces pain-behavioral changes induced by epidural application of nucleus pulposus in a rat model depending on the timing of administration.

    abstract:STUDY DESIGN:An experimental animal study. OBJECTIVE:To study if antitumor necrosis factor-alpha (TNF-alpha) antibody, which is administered at different times, reduces the pain behavior induced by application of nucleus pulposus (NP) to the nerve root. SUMMARY OF BACKGROUND DATA:Treatment with TNF-alpha inhibitor re...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000255097.18246.bc

    authors: Sasaki N,Kikuchi S,Konno S,Sekiguchi M,Watanabe K

    更新日期:2007-02-15 00:00:00

  • Acupuncture for neck disorders.

    abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the effects of acupuncture for individuals with neck pain. SUMMARY OF BACKGROUND DATA:Neck pain is one of the 3 most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are the perceptions of benefits. METHODS.: W...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000252100.61002.d4

    authors: Trinh K,Graham N,Gross A,Goldsmith C,Wang E,Cameron I,Kay T

    更新日期:2007-01-15 00:00:00

  • Anatomic consideration in the anterior approach to the sacro-iliac joint.

    abstract::Anatomical study of L4 nerve branch, L5 nerve root, and bony stock in the sacroiliac region was performed in cadaveric specimens to provide anatomical references for anterior fixation of the sacroiliac joint. At 1 cm intervals along the sacro-iliac joint, the distance to the lateral border of the L4 nerve branch (to t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199403001-00014

    authors: Ebraheim NA,Padanilam TG,Waldrop JT,Yeasting RA

    更新日期:1994-03-15 00:00:00

  • Cell therapy using articular chondrocytes overexpressing BMP-7 or BMP-10 in a rabbit disc organ culture model.

    abstract:STUDY DESIGN:Rabbit knee articular chondrocytes overexpressing human growth factors were injected into cultured intervertebral disc explants. Survival of the injected cells and accumulation of extracellular matrix were assessed. OBJECTIVE:To define the utility of cell-based gene delivery approach for repair of the int...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31816b1f38

    authors: Zhang Y,Phillips FM,Thonar EJ,Oegema T,An HS,Roman-Blas JA,He TC,Anderson DG

    更新日期:2008-04-15 00:00:00