Abstract
Case report
We report a case of an occult intrasacral meningocele. An 11-year-old boy presented with atypical bowel symptoms, severe constipation, and stool incontinence. Magnetic resonance (MR) imaging disclosed an intrasacral cyst containing cerebrospinal fluid (CSF). We diagnosed an occult intrasacral meningocele and performed perforation of the cyst and closure of the fistula. The patient was free from constipation and stool incontinence after the operation.
Discussion
We discuss the clinical features and neuroradiological findings of this rare condition.
Similar content being viewed by others
References
Archer VW, Cooper G, Cimmino CV (1948) Occult meningocele of the sacrum. Report of three cases. Radiology 51:691–695
Bergrand ZM (1969) Congenital intraspinal extradural cyst. Report of three cases in one family. J Neurosurg 28:495–499
Cole GP, Flannery AM, Gulati AK (1989) Intrasacral meningocele: case report and review of the literature. Spine 14:1418–1420
Doty JR, Thomson J, Simonds G, Rengachary SS, Gunby EN (1989) Occult intrasacral meningocele: clinical and radiographic diagnosis. Neurosurgery 24:617–625
Enderle C (1932) Meningocele intrasacrale occulto (rivelato con la mielografia). Riv Neurol 5:418–423
Grivegnee A, Delince P, Ectors P (1981) Comparative aspects of occult intrasacral meningocele with conventional X-ray, myelography and CT. Neuroradiology 22:33–37
Hiroshi Doi, Izumi Toyada, Kiyoshi Matsumoto, Satoshi Imai, Masayuki Sekimizu (1995) Occult intrasacral meningocele with tethered cord: case report. Neurol Med Chir (Tokyo) 35:321–324
Nabors MW, Pait TG, Byrd EB, Karim NO, Davis DO, Kobrine AI, Rizzoli HV (1988) Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 68:366–377
North RB, Kidd DH, Wang H (1990) Occult, bilateral anterior sacral and intrasacral meningeal and perineurial cysts: case report and review of the literature. Neurosurgery 27:980–986
Rengachary SS, O’Boynick P, Karlin CA, Batnitzky S, Price H (1981) Intrasacral extradural communicating arachnoid cyst: case report. Neurosurgery 8:236–240
Sundaram M, Awwaad E (1986) Magnetic resonance imaging of arachnoid cysts destroying the sacrum. Am J Roentgenol 146:359–360
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nishio, Y., Hamada, H., Kurimoto, M. et al. A case of occult intrasacral meningocele presented with atypical bowel symptoms. Childs Nerv Syst 20, 65–67 (2004). https://doi.org/10.1007/s00381-003-0828-8
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-003-0828-8