Anterior sacral meningocele: Review of the literature

Villarejo, F.; Scavone, Carmen; Blázquez, Martín G.; Pascual-Castroviejo, I; Pérez-Higueras, Antonio; Fernández-Sánchez, Antonio J.; Bertrand, Claude

doi:10.1016/0090-3019(83)90212-4

Cited by 94 publications

(62 citation statements)

References 29 publications

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“…Los disrafismos espinales se pueden clasificar en abiertos o cerrados, de acuerdo con el examen clínico (ver Tabla 1) (2,5,7,8,9 En sí, y como se ha dicho, el meningocele sacro anterior oculto es una patología infrecuente, que pertenece al grupo de los disrafismos espinales ocultos; se origina por la protrusión de un saco dural, a través de un defecto óseo en la pared sacra anterior (4,7,(10)(11)(12)(13)(14). El saco herniario está compuesto externamente por una membrana dural que contiene internamente líquido cefalorraquídeo (LCR) y, en forma ocasional, estructuras nerviosas (4,7,13,15,16).…”

Section: Discussionunclassified

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Meningocele Anterior Sacro: A Propósito de un Caso

Sartori

Díaz

Caraballo

2013

Ciencia e Innovación en Salud

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RESUMENEl meningocele anterior sacro oculto es un disrafismo espinal de presentación infrecuente. Se origina por la protrusión de un saco dural, a través de un defecto óseo en la pared sacra anterior, que se localiza en el espacio extraperitoneal presacro. Su etiología es multifactorial y generalmente asintomática, pudiendo asociarse a otras patologías urogenitales, digestivas y ortopédicas. Se diagnostica en forma incidental como una masa homogénea pelviana que contiene duramadre y, ocasionalmente, estructuras nerviosas. En este trabajo, presentamos un caso de meningocele anterior sacro oculto asintomático. Palabras Clave: Meningocele, disrafismo espinal. (Fuente: DeCS). ABSTRACTOccult anterior sacral meningocele is considered as a rare spinal dysraphism. It is caused by the protrusion of a dural sac, through a bone defect in the anterior sacral wall, which is located in the peritoneal space or presacral space. Its ethiology is multifactorial and asymptomatic generally, and it may be associated with other urogenital, digestive and orthopaedic pathologies. It is diagnosed as a homogenous pelvic mass incidentally that contains dura mater and, neural structures occasionally. In this paper, we show a case of asymptomatic occult anterior sacral meningocele.

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Section: Discussionunclassified

“…El meningocele sacro anterior fue reportado inicialmente por Bryant en 1837, habiéndose descrito menos de 200 casos en la literatura internacional (7,(11)(12)(13)(15)(16)(17). Constituye el 5 % de los tumores retro rectales y generalmente se diagnostica en la segunda y tercera década de la vida, sin distinción de sexo (11).…”

Section: Discussionunclassified

Meningocele Anterior Sacro: A Propósito de un Caso

Sartori

Díaz

Caraballo

2013

Ciencia e Innovación en Salud

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“…1) However, the anterior abdominal approach has been advocated if the ASM neck is too large to ligate posteriorly 12,35) or if a pelvic mass is present. 10,24) This approach does not consider any associated neural anomaly in the thecal sac.…”

Section: Discussionmentioning

confidence: 99%

“…Recent advances in neuroimaging have increased the detection of this pathological entity since the first report 4) and an extensive review. 35) MR imaging is believed to be the most useful preoperative diagnostic technique for establishing the treatment plan. 5,25) MR imagine can identify the meningocele and the concomitant abnormal solid masses such as teratoma, as well as abnormalities of the caudal spinal cord such as thickened filum terminale tethering the cord.…”

Section: Discussionmentioning

confidence: 99%

Surgical Strategy for Anterior Sacral Meningocele-Two Case Reports-

Tani

Okuda

Abe

2003

Neurol. Med. Chir.(Tokyo)

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A 25-year-old male presented with an anterior sacral meningocele (ASM) manifesting as repeated urinary tract infections. Surgical correction was completed by simple ligation of the thecal sac next to the ostium via sacral laminectomy, and the thickened filum terminale was sectioned. A 22-year-old female presented with an ASM manifesting as transient difficulty in micturition. Subsequent to sacral laminectomy, the thickened filum terminale was sectioned. However, an aberrant nerve root over the ostium made simple ligation hazardous, so that transdural suture around the ostium was carried out. Complete obliteration was confirmed 5 months after the surgery. Magnetic resonance (MR) imaging could clearly demonstrate the involvement of neurologically important structures. Surgical strategy for ASM based on neurosurgical considerations is proposed, because of the frequent association of caudal spinal cord anomaly as well as presacral mass lesion. Intraoperative assistance systems such as endoscopy for cyst content examination and neurophysiological monitorings are recommended. Several months follow up with MR imaging is required to confirm successful surgical correction.

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“…No suele asociarse a malformaciones cutáneas aunque sí se ha encontrado asociación con algunos tumores como quistes dermoides, teratomas sacrococcigeos y lipomas 9,11 . Igualmente pueden asociarse anomalías anorrectales tipo la atresia o la estenosis anal 11 como ocurre en el síndrome de Currarino, que se trata de una de una enfermedad hereditaria que engloba la triada de defecto del hueso sacro, malformaciones anorrectales y presencia de una masa pélvica 6 .…”

Section: Introductionunclassified

Meningocele sacro anterior oculto

et al. 2011

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ResumenIntroducción. El meningocele sacro anterior es una rara forma de disrafismo espinal, localizado en el espacio presacro extraperitoneal. Generalmente es asintomático y suele presentarse como una pequeña masa pélvica.Caso clínico. Presentamos el caso de un niño de 10 años de edad que desarrolla una meningitis bacteriana consecuencia de un absceso pararectal que se comunica con una cavidad meningocélica sacra anterior. Recibe tratamiento quirúrgico realizándose con éxito un abordaje posterior.Conclusión. La finalidad de la cirugía es reparar el defecto dural y obliterar la comunicación existente entre el saco tecal y el defecto herniario. El abordaje posterior es la técnica quirúrgica más efectiva puesto que tiene menor riesgo de daño neurológico que el abordaje anterior.PALABRAS CLAVE. Meningocele sacro anterior. Masa pélvica. Absceso pararectal. Defecto dural. Occult anterior sacral meningocele SummaryBackground. The anterior sacral meningocele is a rare form of spinal dysraphism located in the presacral extraperitoneal space. It is generally asymptomatic and appears as a small pelvic mass.Case description. We present a case of a 10 year-old male that developes a bacteria meningitis because of a pararectal abscess that is connected with an anterior sacral meningocele. We successfully treated it using a posterior approach.Conclusion. The aim of the surgery is to repair the dural defect and to obliterate the communication between the thecal sac and the herniation defect. The posterior approach is the simplest and most effective surgical technique because the lower risk of neurological injury than the anterior approach.KEY WORDS. Anterior sacral meningocele. Pelvic mass. Pararectal abscess. Dural defect.

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Anterior sacral meningocele: Review of the literature

Cited by 94 publications

References 29 publications

Meningocele Anterior Sacro: A Propósito de un Caso

Meningocele Anterior Sacro: A Propósito de un Caso

Surgical Strategy for Anterior Sacral Meningocele-Two Case Reports-

Meningocele sacro anterior oculto

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