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Journal of Korean Neurosurgical Society 1999;28(11): 1644-1648.
Sacral Perineural Cyst: Another Cause of Sciatica.
Keun Wook Kim, Jae Won Doh, Hack Gun Bae, Kyeong Seok Lee, Il Gyu Yoon, Soon Kwan Choi, Bark Jang Byun
Department of Neurosurgery, Soonchunhyang University Chonan Hospital, Chonan, Korea.
ABSTRACT
About 25% of intrasacral perineural cyst cause sciatica resembling lumbar disc herniation or lumbar stenosis. We report a case of sacral perineural cyst in a 38-year-old female who complained of sciatica and neurogenic intermittent claudication. Delayed X-ray after 3 hours from initial myelogram revealed round cyst at the sacral canal. CT and MRI revealed a cystic mass which has cerebrospinal fluid(CSF) signal intensity. The patient underwent surgery via sacral laminotomy and ligation of cyst including S2 nerve root. The patient returned to work with complete relief of symptoms.
Key Words: Perineural cyst; Sacrum; Delayed myelogram; Ligation of cyst
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