Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging
ObjectiveThis study aimed to develop an arbitrary-dimensional nerve root reconstruction magnetic resonance imaging (ANRR-MRI) technique for identifying the leakage orificium of sacral meningeal cysts (SMCs) without spinal nerve root fibres (SNRFs).MethodsThis prospective study enrolled 40 consecutiv...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1298477/full |
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| author | Chenlong Yang Xiaohui Lou Xiaohui Lou Lina Huang Lina Huang Qianquan Ma Xiaoliang Yin Qiang Zhao Chao Wu Haibo Wu Jianjun Sun Jianjun Sun |
| author_facet | Chenlong Yang Xiaohui Lou Xiaohui Lou Lina Huang Lina Huang Qianquan Ma Xiaoliang Yin Qiang Zhao Chao Wu Haibo Wu Jianjun Sun Jianjun Sun |
| author_sort | Chenlong Yang |
| collection | DOAJ |
| description | ObjectiveThis study aimed to develop an arbitrary-dimensional nerve root reconstruction magnetic resonance imaging (ANRR-MRI) technique for identifying the leakage orificium of sacral meningeal cysts (SMCs) without spinal nerve root fibres (SNRFs).MethodsThis prospective study enrolled 40 consecutive patients with SMCs without SNRFs between March 2021 and March 2022. Magnetic resonance neural reconstruction sequences were performed for preoperative evaluation. The cyst and the cyst-dura intersection planes were initially identified based on the original thin-slice axial T2-weighted images. Sagittal and coronal images were then reconstructed by setting each intersecting plane as the centre. Then, three-dimensional reconstruction was performed, focusing on the suspected leakage point of the cyst. Based on the identified leakage location and size of the SMC, individual surgical plans were formulated.ResultsThis cohort included 30 females and 10 males, with an average age of 42.6 ± 12.2 years (range, 17–66 years). The leakage orificium was located at the rostral pole of the cyst in 23 patients, at the body region of the cyst in 12 patients, and at the caudal pole in 5 patients. The maximum diameter of the cysts ranged from 2 cm to 11 cm (average, 5.2 ± 1.9 cm). The leakage orificium was clearly identified in all patients and was ligated microscopically through a 4 cm minimally invasive incision. Postoperative imaging showed that the cysts had disappeared.ConclusionANRR-MRI is an accurate and efficient approach for identifying leakage orificium, facilitating the precise diagnosis and surgical treatment of SMCs without SNRFs. |
| first_indexed | 2024-03-08T09:19:38Z |
| format | Article |
| id | doaj.art-000ad451796d4c8e838345bda25f54cd |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-08T09:19:38Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-000ad451796d4c8e838345bda25f54cd2024-01-31T13:07:56ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-01-011510.3389/fneur.2024.12984771298477Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imagingChenlong Yang0Xiaohui Lou1Xiaohui Lou2Lina Huang3Lina Huang4Qianquan Ma5Xiaoliang Yin6Qiang Zhao7Chao Wu8Haibo Wu9Jianjun Sun10Jianjun Sun11Department of Neurosurgery, Peking University Third Hospital, Peking University, Beijing, ChinaDepartment of Neurosurgery, Peking University Third Hospital, Peking University, Beijing, ChinaDepartment of Neurosurgery, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Pain, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Radiology, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Neurosurgery, Peking University Third Hospital, Peking University, Beijing, ChinaDepartment of Neurosurgery, Peking University Third Hospital, Peking University, Beijing, ChinaDepartment of Radiology, Peking University Third Hospital, Peking University, Beijing, ChinaDepartment of Neurosurgery, Peking University Third Hospital, Peking University, Beijing, ChinaDepartment of Radiology, Peking University Third Hospital, Peking University, Beijing, ChinaDepartment of Neurosurgery, Peking University Third Hospital, Peking University, Beijing, ChinaDepartment of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaObjectiveThis study aimed to develop an arbitrary-dimensional nerve root reconstruction magnetic resonance imaging (ANRR-MRI) technique for identifying the leakage orificium of sacral meningeal cysts (SMCs) without spinal nerve root fibres (SNRFs).MethodsThis prospective study enrolled 40 consecutive patients with SMCs without SNRFs between March 2021 and March 2022. Magnetic resonance neural reconstruction sequences were performed for preoperative evaluation. The cyst and the cyst-dura intersection planes were initially identified based on the original thin-slice axial T2-weighted images. Sagittal and coronal images were then reconstructed by setting each intersecting plane as the centre. Then, three-dimensional reconstruction was performed, focusing on the suspected leakage point of the cyst. Based on the identified leakage location and size of the SMC, individual surgical plans were formulated.ResultsThis cohort included 30 females and 10 males, with an average age of 42.6 ± 12.2 years (range, 17–66 years). The leakage orificium was located at the rostral pole of the cyst in 23 patients, at the body region of the cyst in 12 patients, and at the caudal pole in 5 patients. The maximum diameter of the cysts ranged from 2 cm to 11 cm (average, 5.2 ± 1.9 cm). The leakage orificium was clearly identified in all patients and was ligated microscopically through a 4 cm minimally invasive incision. Postoperative imaging showed that the cysts had disappeared.ConclusionANRR-MRI is an accurate and efficient approach for identifying leakage orificium, facilitating the precise diagnosis and surgical treatment of SMCs without SNRFs.https://www.frontiersin.org/articles/10.3389/fneur.2024.1298477/fullsacral cystspinal nerve rootmagnetic resonance imagingsectional reconstructionleakage orificium |
| spellingShingle | Chenlong Yang Xiaohui Lou Xiaohui Lou Lina Huang Lina Huang Qianquan Ma Xiaoliang Yin Qiang Zhao Chao Wu Haibo Wu Jianjun Sun Jianjun Sun Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging Frontiers in Neurology sacral cyst spinal nerve root magnetic resonance imaging sectional reconstruction leakage orificium |
| title | Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging |
| title_full | Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging |
| title_fullStr | Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging |
| title_full_unstemmed | Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging |
| title_short | Accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres: identifying leakage orificium using high-resolution spherical arbitrary-dimensional reconstructing magnetic resonance imaging |
| title_sort | accurate diagnosis and treatment of sacral meningeal cysts without spinal nerve root fibres identifying leakage orificium using high resolution spherical arbitrary dimensional reconstructing magnetic resonance imaging |
| topic | sacral cyst spinal nerve root magnetic resonance imaging sectional reconstruction leakage orificium |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1298477/full |
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