Seminars in Spine Surgery
Volume 18, Issue 3 , Pages 161-167 , September 2006

Presacral Meningocele: Diagnosis and Treatment

  • Daniel Shedid, MD, MSc, FRCS(C)

      Affiliations

    • Centre Hospitalier de l’Université de Montréal, Notre-Dame Hospital–Division of Neurosurgery, Montreal, Quebec, Canada.
    • ,
  • Eric P. Roger, MD, FRCS(C)

      Affiliations

    • The Cleveland Clinic Foundation, Cleveland Clinic Spine Institute, Cleveland, OH.
    • ,
  • Edward C. Benzel, MD

      Affiliations

    • The Cleveland Clinic Foundation, Cleveland Clinic Spine Institute, Cleveland, OH.
    • Corresponding Author InformationAddress reprint requests to Edward C. Benzel, MD, The Cleveland Clinic Foundation, Cleveland Clinic Spine Institute, 9500 Euclid Avenue, S80, Cleveland, OH 44195.

References 

  1. Raftopoulos C , Pierard GE , Retif C , et al.   Endoscopic cure of giant sacral meningocele associated with Marfan’s Syndrome: case report . Neurosurgery . 1992;30:765–768
  2. Klenerman L , Merrick MV . Anterior sacral meningocele occurring in a family . J Bone Joint Surg . 1973;55B:331
  3. Oren M , Laber B , Lee SH , et al.   Anterior sacral meningocele (Report of five cases and review of the literature) . Dis Colon Rectum . 1977;20:492
  4. Smith MD . Large sacral dural defect in Marfan syndrome . J Bone Joint Surg Am . 1993;75:1067
  5. Stern WE . Dural ectasia and the Marfan syndrome . J Neurosurg . 1988;69:221
  6. Nallamshetty L , Ahn NU , Ahn UM , et al.   Dural ectasia and back pain: review of the literature and case report . J Spinal Disord Tech . 2002;15(4):326–329
  7. Villarejo F , Scavone C , Blazquez MG . Anterior sacral meningocele: review of literature . Surg Neurol . 1983;19:57–71
  8. Gaskill SJ , Marlin AE . The Currarino triad: its importance in pediatric neurosurgery . Pediatr Neurosurg . 1996;25:143–146
  9. Cohn J , Bay-Nielsen E . Hereditary defect of the sacrum and coccyx with anterior sacral meningocele . Acta Paediatr Scand . 1969;58(3):268–274
  10. Say B , Carpenter NJ , Coldwell JG . Anterior sacral meningocele . JAMA . 1977;13(2602):23724
  11. Tostain J , Perraud Y , Preynat P , et al.   Anterior sacral meningocele with urologic manifestations (Report of 3 cases) . Prog Urol . 1992;2:464–471
  12. Ogose A , Hotta T , Sato S , et al.   Presacral schwannoma with purely cystic form . Spine . 2001;26(16):1817–1819
  13. Aaronson I . Anterior sacral meningocele, anal canal duplication cyst, and covered anus occurring in one family . J Pediatr Surg . 1970;5:559
  14. Pang D . Sacral agenesis and caudal spinal cord malformations . Neurosurgery . 1993;32:755
  15. Currarino G , Coln D , Votteler T . Triad of anorectal, sacral and presacral anomalies . AJR Am J Roentgenol . 1981;137:395–398
  16. Iinuma Y , Iwafuchi M , Uchiyama M , et al.   A case of Currarino triad with familial sacral bony deformities . Pediatr Surg Int . 2000;16:134
  17. Lynch SA , Bond PM , Copp AJ , et al.   A gene for autosomal dominant sacral agenesis maps to the holoprosencephaly region at 7q36 . Nat Genet . 1995;11:93
  18. Martucciello G , Torre M , Belloni E , et al.   Currarino syndrome: proposal of a diagnostic and therapeutic protocol . J Pediatr Surg . 2004;39(9):1305–1311
  19. Haddad FS . Anterior sacral meningocele: report of two cases and review of the literature . Can J Surg . 1958;1:230
  20. Wilkins RH , Odom GL . Anterior and lateral spinal meningocele . In:  Vinken PJ ,  Bruyn GW editor. Handbook of Clinical Neurology . New York, NY: Elsevier Biomedical; 1978;p. 193
  21. Lancon JA , Benzel EC , Tibbs RE . Anterior sacral meningocele . In:  Benzel EC editors. Spine Surgery II: Techniques, Complication Avoidance, and Management . Philadelphia, PA: Elsevier–Churchill Livingstone; 2005;p. 1156–1165
  22. McCreath GT , Macpherson P . Sonography in diagnosis and management of anterior sacral meningocele . J Clin Ultrasound . 1980;8:133–137
  23. Krivokapic Z , Grubor N , Micev M , et al.   Anterior sacral meningocele with presacral cysts: report of a case . Dis Colon Rectum . 2004;47(11):1965–1969
  24. Chamaa MT , Berney J . Anterior sacral meningocele (Value of magnetic resonance imaging and abdominal sonography) . Acta Neurochir (Wien) . 1991;109:154–157
  25. Balériaux-Waha D , Osteaux M , Terwinghe G , et al.   The management of anterior sacral meningocele with computed tomography . Neuroradiology . 1977;14:42
  26. Lee KS , Gower DJ , McWhorter JM , et al.   The role of MR imaging in the diagnosis and treatment of anterior sacral meningocele (Report of two cases) . J Neurosurg . 1988;69(4):628–631
  27. Fitzpatrick MO , Taylor WS . Anterior sacral meningocele associated with rectal fistula (Case report and review of the literature) . J Neurosurg (Spine 1) . 1999;91:124–127
  28. Martin B , de Latour FB . MR imaging of anterior sacral meningocele . J Comput Tomogr . 1988;12:166
  29. Wetzel LH , Levie E . MR imaging of sacral and presacral lesions . AJR Am J Radiol . 1990;154:771
  30. Samuel M , Hosie G , Holmes K . Currarino triad—diagnostic dilemma and a combined surgical approach . J Pediatr Surg . 2000;35(12):1790–1794
  31. Quigley MR , Schinco F , Brown JT . Anterior sacral meningocele with an unusual presentation: case report . J Neurosurg . 1984;61:790–792
  32. Thambidorai CR , Muin I , Razman J , et al.   Currarino triad with dual pathology in the presacral mass: report of a case . Dis Colon Rectum . 2003;46(7):974–977
  33. Kirks DR , Merten DF , Filston HC , et al.   The Currarino triad: complex of anorectal malformation, sacral bony abnormality, and presacral mass . Pediatr Radiol . 1984;14(4):220–225
  34. Rukskul P . Lumbo-peritoneal shunting improved spinal cord compression due to a large anterior sacral meningocele . J Med Assoc Thai . 2005;88(2):265–268
  35. Hanna AS , Morandi X . Anterior sacral meningocele in pregnancy (Case report) . J Neurosurg . 2001;94(suppl 1):162–164
  36. McGuire RA , Metcalf JC , Amundson GM , et al.   Anterior sacral meningocele: case report and review of literature . Spine . 1990;15:612–614
  37. Johnson LH . Pregnancy associated with an anterior sacral meningocele: case report . South Med J . 1970;63:432–434
  38. Kofinas AD , Hatjis CG , Ernest JM , et al.   Anterior sacral meningocele in pregnancy . Obstet Gynecol . 1987;69(3 Pt. 2):441–444
  39. Jeon BC , Kim DH , Kwon KY . Anterior endoscopic treatment of a huge anterior sacral meningocele: technical case report . discussion 1233-1234 Neurosurgery . 2003;52(5):1231–1233
  40. Somuncu S , Aritürk E , Iyigün Ö . A case of anterior sacral meningocele totally excised using the posterior sagittal approach . J Pediatr Surg . 1997;32:730–732
  41. Andersen C , Tange M . Anterior sacral meningocele: case report . Acta Chir Scand . 1990;156:808–811
  42. Tani S , Okuda Y , Abe T . Surgical strategy for anterior sacral meningocele . Neurol Med Chir (Tokyo) . 2003;43(4):204–209
  43. Leibowitz E , Barton W , Sadighi P , et al.   Anterior sacral meningocele contiguous with a pelvic hamartoma (Case report) . J Neurosurg . 1984;61(1):188–190
  44. Adson AW . Spina bifida cystica of the pelvis: diagnosis and surgical treatment . Minn Med . 1938;21:468–475
  45. Hino A , Taketomo S , Iwasaki T . Treatment of anterior sacral meningocele—case report . Neurol Med Chir Tokyo . 1993;33:700–702
  46. Clatterbuck RE , Jackman SV , Kavoussi LR , et al.   Laparoscopic treatment of an anterior sacral meningocele (Case illustration) . J Neurosurg . 2000;92(suppl 2):246

PII: S1040-7383(06)00047-5

doi: 10.1053/j.semss.2006.06.002

Seminars in Spine Surgery
Volume 18, Issue 3 , Pages 161-167 , September 2006

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