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学科主题: 临床医学
题名:
Comparative Outcomes of the Two Types of Sacral Extradural Spinal Meningeal Cysts Using Different Operation Methods: A Prospective Clinical Study
作者: Sun, Jian-jun1; Wang, Zhen-yu1; Teo, Mario2; Li, Zhen-dong1; Wu, Hai-bo3; Yen, Ru-yu4; Zheng, Mei5; Chang, Qing6; Liu, Isabelle Yisha7
刊名: PLOS ONE
发表日期: 2013-12-26
DOI: 10.1371/journal.pone.0083964
卷: 8, 期:12
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Multidisciplinary Sciences
研究领域[WOS]: Science & Technology - Other Topics
关键词[WOS]: TARLOV CYSTS ; PERINEURAL CYSTS ; THERAPY
英文摘要:

This prospective study compares different clinical characteristics and outcomes of patients with two types of sacral extradural spinal meningeal cysts (SESMC) undergoing different means of surgical excision. Using the relationship between the cysts and spinal nerve roots fibers (SNRF) as seen under microscope, SESMCs were divided into two types: cysts with SNRF known as Tarlov cysts and cysts without. The surgical methods were tailored to the different types of SESMCs. The improved Japanese Orthopedic Association (IJOA) scoring system was used to evaluate preoperative and postoperative neurological function of the patients. Preoperative IJOA scores were 18.5 +/- 1.73, and postoperative IJOA scores were 19.6 +/- 0.78. The difference between preoperative and postoperative IJOA scores was statistically significant (t = -4.52, p = 0.0001), with a significant improvement in neurological function after surgery. Among the improvements in neurological functions, the most significant was sensation (z=-2.74, p=0.006), followed by bowel/bladder function (z=-2.50, p=0.01). There was a statistically significant association between the types of SESMC and the number (F=12.57, p=0.001) and maximum diameter (F=8.08, p=0.006) of the cysts. SESMC with SNRF are often multiple and small, while cysts without SNRF tend to be solitary and large. We advocate early surgical intervention for symptomatic SESMCs in view of significant clinical improvement postoperatively.

语种: 英语
所属项目编号: 200800011035
项目资助者: Science Foundation for The Excellent Youth Scholars of Ministry of Education of China
WOS记录号: WOS:000329116700091
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56702
Appears in Collections:北京大学第三临床医学院_神经外科_期刊论文

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作者单位: 1.Peking Univ, Hosp 3, Dept Neurosurg, Beijing 100871, Peoples R China
2.So Gen Hosp, Inst Neurol Sci, Dept Neurosurg, Glasgow G51 4TF, Lanark, Scotland
3.Peking Univ, Hosp 3, Dept Neuroradiol, Beijing 100871, Peoples R China
4.Peking Univ, Hosp 3, Dept Gen Surg, Beijing 100871, Peoples R China
5.Peking Univ, Hosp 3, Dept Neurol, Beijing 100871, Peoples R China
6.Peking Univ, Hosp 3, Dept Pathol, Beijing 100871, Peoples R China
7.UCLA Med Ctr, Dept Head & Neck Surg, Los Angeles, CA USA

Recommended Citation:
Sun, Jian-jun,Wang, Zhen-yu,Teo, Mario,et al. Comparative Outcomes of the Two Types of Sacral Extradural Spinal Meningeal Cysts Using Different Operation Methods: A Prospective Clinical Study[J]. PLOS ONE,2013,8(12).
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