Lumbosacral Perineurial Cysts Caused Cauda Equina Syndrome Which Temporarily Relieved by Pelivic Traction: Case Report

腰薦神經束膜囊導致馬尾症候群：腰椎牽引之療效－病歷報告

黃翠莉(Chui-Lee Wong) ； 許美慧(Mei-Hue Hsu)

《中華民國復健醫學會雜誌》 21期 (1993/12) Pp. 185-191

摘要

本文報告一位65歲女性的馬尾症候群患者，其於某院診斷為腰椎骨性關節炎，住院接受為期一個月的全日腰椎牽引而獲得顯著改善。後來在本院就診，由脊髓攝影及磁振影像掃描證實為多發性腰薦神經束膜囊。
因推測腰椎牽引時，腰薦脊髓腔內的壓力減低，抑或壓力之改變促使囊內少量液體釋回蝴蛛膜腔，減輕神經組織所受的壓迫，進而使症狀改善，故先後曾三度給予門診間歇性腰椎牽引。經過最後二次療程，患者可輕鬆的走半小時路程，便秘改善，且不需服用輕瀉劑。
對於症狀較輕或伴有內科疾病不宜接受手術的腰薦神經束膜囊患者，腰椎牽引應可暫緩其症狀。

並列摘要

Sacral perineurial cyst is an uncommon entity. It can be the cause of a sciatica or cauda equina syndrome. Reportd here is a case of multiple lumbosacral perineurial cysts with cauda equina syndrome, who experienced remarkable improvement of symptoms after each course of pelvic traction which was initially prescribed under the impression of lumbar spondylosis. Pelvic traction may probably serve as a palliative treatment temporarily for some patients with only mild symptoms or patients whose general condition is not suitable for surgery.

並列關鍵字

perineurial cysts ； cauda equina syndrome ； pelvic traction