Sakrale perineuralzysten - gibt es radiologische kriterien für eine operationsindikation? - Eigene Ergebnisse und Literaturübersicht

Translated title of the contribution: The sacral perineural system: Are there radiological criteria an indication for surgery? First results and literature survey

B. Nikolic, S. Abbara, W. Heindel, M. Volz, K. Terstegge, N. Klug, K. Lackner

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Purpose: To establish recommendations for diagnostic imaging of cystic lesions of the sacral region and to evaluate for potential predictors of therapeutic outcome. Methods: Conventional imaging of the lumbar spine, conventional CT, myelography, post myelo-CT and MRI were performed in 7 symptornatic patients. All patients underwent operative decompression and histological examination. The radiographic examinations were reevaluated retrospectively and correlated with the postoperative outcome. Results: In one patient the differential diagnosis of a neurinoma could not be excluded with CT and CT-myelography alone. In all 7 patients MRI provided a definite diagnosis and a precise presentation of the cyst extension. A complete postoperative remission of symptoms was noticed in 4, a partial remission in three cases. The correlation of cyst extension, cyst shape, and the communication with the subarachnoid space did not provide predictive information concerning operative outcome. Conclusion: MR can be used as the sole imaging tool for demonstration of cystic lesions. Relevant disadvantages in comparison to myelography and myelo-CT were not evident. No imaging modality could predict the value of surgical intervention.

Translated title of the contributionThe sacral perineural system: Are there radiological criteria an indication for surgery? First results and literature survey
Original languageGerman
Pages (from-to)1035-1042
Number of pages8
JournalRoFo Fortschritte auf dem Gebiet der Rontgenstrahlen und der Bildgebenden Verfahren
Volume172
Issue number12
StatePublished - Dec 1 2000

Keywords

  • MR
  • Myelography
  • Nerve roots
  • Neuroma
  • Sacral perineural cyst

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'The sacral perineural system: Are there radiological criteria an indication for surgery? First results and literature survey'. Together they form a unique fingerprint.

  • Cite this