Digital Subtraction Cystography for Detection of Communicating Holes of Spinal Extradural Arachnoid Cysts
Korean Journal of Radiology
;
: 111-116, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-110206
ABSTRACT
OBJECTIVE:
The purpose of this study was to demonstrate the usefulness of digital subtraction cystography to identify communicating holes between a spinal extradural arachnoid cyst (SEAC) and the subarachnoid space prior to cyst removal and hole closure. MATERIALS ANDMETHODS:
Six patients with SEAC were enrolled in this retrospective study. Digital subtraction cystography and subsequent CT myelography were performed for every patient. The presence and location of the communicating holes on cystography were documented. We evaluated the MRI characteristics of the cysts, including location, size, and associated spinal cord compression; furthermore, we reviewed cystographic images, CT myelograms, procedural reports, and medical records for analysis. If surgery was performed after cystography, intraoperative findings were compared with preoperative cystography.RESULTS:
The location of the communicating hole between the arachnoid cyst and the subarachnoid space was identified by digital subtraction cystography in all cases (n = 6). Surgical resection of SEAC was performed in 4 patients, and intraoperative location of the communicating hole exactly corresponded to the preoperative identification.CONCLUSION:
Fluoroscopic-guided cystography for SEAC accurately demonstrates the presence and location of dural defects. Preoperative digital subtraction cystography is useful for detection of a communicating hole between a cyst and the subarachnoid space.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Compressão da Medula Espinal
/
Doenças da Medula Espinal
/
Processamento de Imagem Assistida por Computador
/
Imageamento por Ressonância Magnética
/
Fluoroscopia
/
Radiografia Abdominal
/
Tomografia Computadorizada por Raios X
/
Estudos Retrospectivos
/
Cistos Aracnóideos
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Radiology
Ano de publicação:
2016
Tipo de documento:
Artigo
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