Konjenital Spinal Kistler
Özet
Konjenital spinal kistler, genellikle tesadüfen saptanan ancak büyüdüklerinde omurilik ve sinir kökü basısına bağlı olarak ağrı, güç kaybı ve inkontinans gibi ciddi nörolojik semptomlara yol açabilen nadir lezyonlardır. Nabors sınıflandırmasına göre ekstradural ve intradural olarak alt tiplere ayrılan bu kistler arasında en sık Tarlov kistleri, araknoid kistler, nörenterik kistler ve ependimal kistler görülmektedir. Tanıda T1 ve T2 ağırlıklı sekansları içeren manyetik rezonans görüntüleme (MRG) ve difüzyon MR başrolü oynarken, semptomatik vakalarda temel tedavi yaklaşımı dural defekt onarımı, kist fenestrasyonu veya mikrocerrahi yöntemlerle yapılan güvenli total rezeksiyondur.
Congenital spinal cysts are rare lesions that are often detected incidentally but can lead to severe neurological symptoms, including pain, motor weakness, and urinary incontinence, when they compress the spinal cord or nerve roots. Classified into extradural and intradural types according to the Nabors system, the most common variants include Tarlov, arachnoid, neurenteric, and ependymal cysts. While magnetic resonance imaging (MRI) and diffusion-weighted sequences are paramount for definitive diagnosis, the primary therapeutic approach for symptomatic cases relies on dural defect repair, cyst fenestration, or safe total microsurgical resection.
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