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 Citations (Scopus)

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.

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 - 2000

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Myelography
Cysts
Sacrococcygeal Region
Subarachnoid Space
Neurilemmoma
Diagnostic Imaging
Decompression
Spine
Differential Diagnosis
Communication
Surveys and Questionnaires
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Sakrale perineuralzysten - gibt es radiologische kriterien für eine operationsindikation? - Eigene Ergebnisse und Literaturübersicht. / Nikolic, B.; Abbara, S.; Heindel, W.; Volz, M.; Terstegge, K.; Klug, N.; Lackner, K.

In: RoFo Fortschritte auf dem Gebiet der Rontgenstrahlen und der Bildgebenden Verfahren, Vol. 172, No. 12, 2000, p. 1035-1042.

Research output: Contribution to journalArticle

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AU - Volz, M.

AU - Terstegge, K.

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AU - Lackner, K.

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AB - 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.

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