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Journal of Korean Neurosurgical Society 1999;28(8): 1203-1207.
Occult Intrasacral Meningocele Associated with Arachnoid Cyst.
Ju Heon Kim, Choong Hyun Kim, Il Sung Choi, Koang Hum Bak, Jae Min Kim, Nam Kyu Kim
Department of Neurosurgery, School of Medicine, Hanyang University, Seoul, Korea.
case of occult intrasacral meningocele associated with arachnoid cyst in a 35-year-male is reported. The patient presented with a history of severe sacrococcygeal pain, constipation, and urinary incontinence for several months. Myelography revealed delayed filling of a meningocele. Computed tomographic(CT) myelography and magnetic resonance(MR) imaging showed huge intrasacral mass without neural elements. A favorable outcome was achieved by decompression of the cyst, obliteration of the conduit to subarachnoid space, and fenestration of arachnoid cyst into subarachnoid space.
Key Words: Intrasacral meningocele; Arachnoid cyst; Sacrum; Occult dysraphism; Decompression
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