Journal of Korean Neurosurgical Society  1999;28(8):1203-1207

Occult Intrasacral Meningocele Associated with Arachnoid Cyst.

Ju Heon KIM 1 ; Choong Hyun KIM ; Il Sung CHOI ; Koang Hum BAK ; Jae Min KIM ; Nam Kyu KIM

Affiliations

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Keywords

Intrasacral meningocele; Arachnoid cyst; Sacrum; Occult dysraphism; Decompression

Country

Republic of Korea

Language

Korean

Abstract

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.