A Case Report of Cyst-Subarachnoid Shunt for Symptomatic Sacral Perineal Cyst

• Published in: Journal of Spine Research Vol. 12; no. 4; pp. 668 - 671
• Main Authors: Imanishi, Takao, Kondo, Tetsushi, Sudo, Takao, Asanuma, Yumiko, Miyazaki, Shinichi, Shiokawa, Yasuo
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society for Spine Surgery and Related Research 20.04.2021; 一般社団法人 日本脊椎脊髄病学会
• Subjects: cyst-subarachnoid shunt; sacral perineural cyst; surgical treatment; 仙骨神経根囊腫; 囊腫くも膜下腔シャント; 手術的加療
• ISSN: 1884-7137; 2435-1563
• DOI: 10.34371/jspineres.2021-0404

The authors performed a cyst-subarachnoid shunt for symptomatic sacral perineal cyst.Case Report: We treated a case of symptomatic sacral perineal cyst in a 44-year-old woman who had left-sided sciatica and urinary disturbance. Magnetic resonance Imaging (MRI), myelography and enhanced Computed Tomography (CT) of the cyst showed a cystic lesion in the sacral area which was compressing the dural sac. The contrast medium revealed that the cyst was communicated with the subarachnoid space. A cyst-subarachnoid shunt tube was set to equalize the cerebrospinal fluid pressure between the cephalad dural sac and the cyst.Conclusions: After surgery, the patient had an uneventful postoperative course, and neurological improvement was obtained immediately.