Recurrent Abortion and Tethered Cord Syndrome Caused by Anterior Sacral Meningocele: A Report of a Rare Case with a Review of the Literature

Gupta, Shruti; Chunnilal, J. S.; Mehrotra, Meenal; Mehrotra, Anant; Srivastava, Arun Kumar; Das, Kuntal Kanti

doi:10.1016/j.wneu.2017.02.112

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…[ 16 ] ASMs are often accompanied with anorectal malformations and other presacral tumors such as lipomas, dermoid, teratoma, or epidermoid. [ 17 ] Congenital ASMs may be inherited in an autosomal or sex-linked dominant manner. [ 17 ]…”

Section: Discussionmentioning

confidence: 99%

“…Surgical and observational management has been both reported in the literature. [ 1 , 11 , 17 ] It has been acknowledged that conservative management is an appropriate option for small, uncomplicated meningoceles (such as the patient 2), without associated tumors or pregnant patients. However, spontaneous regression of meningoceles has not been observed and life-threatening complications such as fistula, meningitis, and rupture have been described.…”

Section: Discussionmentioning

confidence: 99%

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Individualized management of giant anterior meningoceles-case series

Wang

Yang

et al. 2020

Medicine

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Rationale: Anterior spinal meningoceles are rare neuroanatomic abnormality formed by protrusion of the spinal meninges through a defect in the vertebral column. Presently, therapeutic options for anterior spinal meningoceles are still controversial. The objective of this study is to discuss the individualized management of giant anterior spinal meningoceles. Patient concerns and Diagnoses: We analyzed 4 patients with anterior spinal meningoceles between 2007 and 2014 in our department by retrospective chart review, two of whom were anterior sacral meningoceles (ASMs), and another2 were intrathoracic meningoceles (ITMs). Interventions and outcomes: Patients mainly presented with compressive symptoms including rectal irritation, dyspnea (patient 3) and fixed neurologic deficits (patient 4). Three out of 4 patients received surgical treatment, one of which underwent reoperation. After surgery, meningoceles in 1 patient completely disappeared. Two patients acquired the stability of the size of the meningoceles. Lessons: Management of anterior spinal meningoceles often requires precise treatment based on the different conditions of each patient. Surgical intervention has been proposed for the treatment of symptomatic anterior spinal meningoceles. The goal of surgery is to safely disconnect the linkage between the cyst and CSF from subarachnoid space to prevent further enlargement of the cyst or reaccumulating of cystic fluid.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Individualized management of giant anterior meningoceles-case series

Wang

Yang

et al. 2020

Medicine

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“…Algunas teorías mencionan que el revestimiento celular en las paredes del quiste tiene capacidades secretoras de líquido, lo que explicaría su crecimiento hacia el espacio extradural (1,2,7) . Otros autores defienden la existencia de un mecanismo de "válvula" unidireccional que permitenel crecimiento del quiste por los incrementos intermitentes de presión en el LCR (1,3,6) . Los síntomas a menudo son asimétricos e incluyen debilidad, dolor neuropático, mielopatía, incontinencia, infecciones del tracto urinario y paraparesia (2,4) .…”

Section: Discussionunclassified

“…Se presentan en su mayoría en la región torácica baja con un 65%, seguido de la región lumbar con el 13% (2) . Incluidos en este grupo se describe el meningocele sacro anterior, que corresponde a una extensión de la duramadre y la aracnoides fuera del canal espinal del sacro hacia el retroperitoneo y espacio intraperitoneal a través de un defecto sacro ventral (3) . Estas lesiones expansivas pueden manifestarse clínicamente con dolor axial y síntomas relacionados con la compresión del cordón o la raíz (4) .…”

Section: Introductionunclassified

Quiste aracnoideo sacro recidivante con meningocele anterior gigante. Reporte de caso

et al. 2019

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“…The clinical manifestations and imaging findings of patients with CS vary. Apart from the classical triad elements of the complete CS subtype, there is an incomplete CS subtype without 1 or 2 of the main anomalies (4). As radiological findings cannot correctly diagnose the incomplete CS subtype, these patients often need to undergo genetic examinations to obtain an accurate diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Characterization of complete Currarino syndrome in pediatrics—a comparison between CT and MRI

Chen¹,

Zheng²,

Wang³

et al. 2022

Ann Transl Med

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Background: This study sought to analyze the computed tomography (CT) and magnetic resonance imaging (MRI) characteristics of the classical triad elements and the associated anomalies in pediatric complete Currarino syndrome (CS) to evaluate the advantages and disadvantages of the 2 different imaging methods in displaying the abnormalities of this disease. Methods:The clinical and radiological features of 32 pediatric patients with complete CS diagnosed histologically and/or radiologically were retrospectively analyzed.Results: All 32 complete CS patients presented with the classical triad of congenital anorectal malformation (ARM), sacral agenesis, and presacral mass. Anal atresia, which is the most common congenital ARM, was observed in 19 of the 32 patients (59.4%). Sacral agenesis was mainly type IV (75%). Among the presacral masses, true tumors and pseudotumors accounted for about half each. All of the 15 true tumors were presacral teratomas. 25 patients had associated anomalies, including tethered cord, filum lipoma, and hydronephrosis. 24 patients underwent both CT and MRI examinations. While CT was better than MRI in displaying sacral anomaly (P<0.05), MRI was more sensitive than CT at detecting presacral mass, spinal dysraphism, and congenital anal atresia (P<0.05).Conclusions: CT and MRI have different efficiencies at displaying the abnormalities of the complete CS.As a non-invasive method, MRI has significant advantages in diagnosing complete CS, especially in revealing the details of ARM, presacral mass, and associated spinal dysraphism.

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Recurrent Abortion and Tethered Cord Syndrome Caused by Anterior Sacral Meningocele: A Report of a Rare Case with a Review of the Literature

Cited by 5 publications

References 9 publications

Individualized management of giant anterior meningoceles-case series

Individualized management of giant anterior meningoceles-case series

Quiste aracnoideo sacro recidivante con meningocele anterior gigante. Reporte de caso

Characterization of complete Currarino syndrome in pediatrics—a comparison between CT and MRI

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