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Lumbosacral dural anomalies in von Recklinghausen neurofibromatosis

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Summary

The lumbosacral dural abnormalities in two patients with von Recklinghausen neurofibromatosis (vRNF) are described. Analysis of 18 previously reported cases revealed considerable morphological variations of the lumbosacral dural lesions associated with vRNF, but three basic forms may be distinguished. The pathogenesis of these lesions is still controvesial. The contrast studies in our patients, especially the computed tomographic myelography (CTM), suggest that the meningocoeles in vRNF are, in fact, abnormally dilated and elongated nerve root sleeves and should, therefore, be distinguished from other types of meningeal cysts occuring in the lumbosacral region. The clinical significance of these dural anomalies are discussed.

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References

  1. Amacher AI, Drake CG, McLachlin AD (1968) Anterior sacral meningocele. Surg Gynecol Obstet 126: 986–994

    Google Scholar 

  2. Angtuaco EJC, Binet EF, Flanigan S (1983) Value of computed tomographic myelography in neurofibromatosis. Neurosurgery 6: 666–671

    Google Scholar 

  3. Bolande RP (1981) Neurofibromatosis — The quintessential neurocristopathy: Pathogenic concepts and relationships. Adv Neurol 29: 67–76

    Google Scholar 

  4. Casselman ES, Mandell GA (1979) Vertebral scalloping in neurofibromatosis. Radiology 131: 89–94

    Google Scholar 

  5. Curtis BH, Fisher RL, Butterfield WL, Saunders FP (1969) Neurofibromatosis with Paraplegia. Report of eight cases. J Bone Jt Surg 51 A: 843–861

    Google Scholar 

  6. Enderle C (1932) Meningocoele intrasacrale occulto (rivelato con la mielografia). Riv Neurol 5: 418–423

    Google Scholar 

  7. Fishman EK, Zinreich SJ, Kumar AJ, Rosenbaum AE, Siegelman SS (1983) Sacral abnormalities in Marfan syndrome. J Comput Assist Tomogr 7: 851–856

    Google Scholar 

  8. Green WJ, Green AE (1988) Large pelvic mass in a patient with neurofibromatosis. Invest Radiol 23: 772–774

    Google Scholar 

  9. Gutierrezx Maxwell V, Gil R (1964) Meningocele sacro anterior. Bol Soc Gir Buenos Aires 48: 286–297

    Google Scholar 

  10. Heard G, Payne EE (1962) Scalloping of the vertebral bodies in von Recklinghausen's disease of the nervous system (neurofibromatosis). J Neurol Neurosurg Psychiatry 25: 345–351

    Google Scholar 

  11. Howieson J, Norrell HA, Wilson CB (1968) Expansion of the subarachnoid space in the lumbosacral region. Radiology 90: 488–492

    Google Scholar 

  12. Hunt JC, Pugh DG (1961) Skeletal lesions in neurofibromatosis. Radiology 76: 1–20

    Google Scholar 

  13. Jabre A, Ball JB, Tew JM (1985) Anterior sacral meningocele. Current diagnosis. Surg Neurol 23: 9–13

    Google Scholar 

  14. Joseph RA, McKenzie T (1970) Occult intrasacral meningocele. J Neurol Neurosurg Psychiatry 33: 493–496

    Google Scholar 

  15. Laws JW, Pallis C (1963) Spinal deformities in neurofibromatosis. J Bone Joint Surg 45 B: 674–682

    Google Scholar 

  16. Meigs JV (1963) Anterior meningocele as a gynecologic problem. Prog Gynecol 4: 365–392

    Google Scholar 

  17. Meszaros WT, Guzzo F, Schorsch H (1966) Neurofibromatosis. Am J Roentgenol Rad Ther 98: 557–569

    Google Scholar 

  18. Mitchell GE, Lourie H, Berne AS (1967) The various causes of scalloped vertebrae with notes on their pathogenesis. Radiology 89: 67–74

    Google Scholar 

  19. Oepen G, Clarenbach P, Thoden U (1981) M. Recklinghausen mit multiplen lateralen Meningozelen. Nervenarzt 52: 178–180

    Google Scholar 

  20. O'Neill P, Whatmore WJ, Booth AE (1983) Spinal meningocele in association with neurofibromatosis. Neurosurgery 13: 82–84

    Google Scholar 

  21. Oren M, Lorber B, Lee SH, Truex RC, Gennaro AR (1977) Anterior sacral meningocele. Report of five cases and review of the literature. Dis Colon Rectum 20: 492–503

    Google Scholar 

  22. Pohl R (1933) Meningocoele im Brustraum unter dem Bilde eines intrathorakalen Rundschattens. Roentgenpraxis 6: 747–749

    Google Scholar 

  23. Riccardi VM (1981) Neurofibromatosis: An overview and new directions in clinical investigations. Adv Neurol 29: 1–8

    Google Scholar 

  24. Riccardi VM (1987) Neurofibromatosis. Neurologic Clinics 5: 337–349

    Google Scholar 

  25. Salerno NR, Edeiken J (1970) Vertebral scalloping in neurofibromatosis. Radiology 97: 509–510

    Google Scholar 

  26. Sammons BP, Thomas DF (1959) Extensive lumbar meningocele associated with neurofibromatosis. Am J Roentgenol 81: 1021–1025

    Google Scholar 

  27. Shealy CN, Le May M (1964) Intrathoracic meningocele. Two additional cases of this rare entity. J Neurosurg 21: 880–883

    Google Scholar 

  28. Stern WE (1988) Dural ectasia and the Marfan syndrome. J Neurosurg 69: 221–227

    Google Scholar 

  29. Villarejo F, Scavone C, Blazquez MG Pascual-Castroviejo I, Perez-Higueras A, Fernandez-Sanchez A, Bertrand CG (1983). Anterior sacral meningocele: Review of the literature. Surg Neurol 19: 57–71

    Google Scholar 

  30. Young IS, Bruwer A (1969) The occult intrasacral meningocele. Am J Roentgenol 105: 390–399

    Google Scholar 

  31. Wilkins RH, Odom GL (1978) Anterior and lateral spinal meningocele. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology. Elsevier, New York, pp 193–230

    Google Scholar 

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Jamjoom, Z.A.B., Malabarey, T., Kolawole, T.M. et al. Lumbosacral dural anomalies in von Recklinghausen neurofibromatosis. Acta neurochir 105, 140–146 (1990). https://doi.org/10.1007/BF01669998

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