Giant intrasacral meningocele: a case report

Abstract

A peculiar case of intrasacral meningocele and spinal cord tethering is reported. Contents of the intrasacral meningocele and importance of CSF flow analyses with MRI are discussed. Demonstration of CSF flow from the thecal sac to meningocele in the CSF flow MR imaging may be helpful for determining the possibility of meningocele growth. In this report, we have presented the determination of CSF flow as a new surgical indication in this type of cases.

Treatment of a sacral fracture associated with an intrasacral meningocele: A case report

“…6,7 Further, using MRI can easily confirm the diagnosis of intrasacral meningoceles. 7,8,10 Akahane et al…”

“…While in symptomatic or growing cases, surgical treatments by intrasacral meningoceles excision or ligation of the fistula permitting the flow of CSF is recommended. 7,10 The only report of an intrasacral meningocele complicated by a fracture is the report by Fardon. 5 The patient was injured transverse sacral fracture resulted from a hyperflexion injury.…”

“…7,8 Especially lumbosacral pain occurs as a result of sacral osteolysis. 10 As treatments for intrasacral meningoceles, in asymptomatic cases, follow-up is suggested. While in symptomatic or growing cases, surgical treatments by intrasacral meningoceles excision or ligation of the fistula permitting the flow of CSF is recommended.…”

“…While in symptomatic or growing cases, surgical treatments by intrasacral meningoceles excision or ligation of the fistula permitting the flow of CSF is recommended. 7,10…”

Six cases of occult sacral meningocele

“…Occult sacral meningoceles (OSM) are cerebrospinal fluid (CSF) containing cystic masses that are typically devoid of neural elements. [1,2,[5][6][7][8][9] e radiographic documentation of these lesions is still best-defined utilizing lumbar CT-myelography. [3] Here, we present six patients who presented with symptomatic OSM whose clinical symptoms (i.e., low back pain/radiculopathy) improved with surgery except for bladder dysfunction.…”