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Giant sacral cysts with neurogenic bladder

K Shinomiya¹, N Mutoh, K Furuya

¹Department of Orthopaedic Surgery, Tokyo Medical and Dental University, Japan.

Journal of Spinal Disorders

|October 1, 1994

Summary

This summary is machine-generated.

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Giant sacral cysts can cause significant neurological issues like bladder dysfunction and pain by compressing or damaging sacral nerve roots. Surgical intervention can alleviate pain and sensory problems, though bladder function may only partially recover.

Area of Science:

Neurosurgery
Neurology
Urology

Background:

Sacral cysts are often asymptomatic and incidentally discovered during lumbar myelography.
Giant sacral cysts, particularly those involving the S3 nerve roots, can present with concerning neurological symptoms.

Observation:

Two patients with giant sacral cysts experienced neurogenic bladder, perianal sensory disturbances, and buttock pain.
Intraoperative electrophysiological studies revealed nerve conduction blocks as a key factor.

Findings:

Two distinct pathogenetic mechanisms were identified: compression of caudal sacral nerves by the cysts and degeneration of nerve root fibers within the cyst walls.
Post-surgical outcomes included resolution of buttock pain and perianal hypesthesia.

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Implications:

Surgical decompression of giant sacral cysts can effectively treat associated pain and sensory deficits.
While some neurological functions improve, complete recovery of neurogenic bladder following surgical intervention for sacral cysts remains a challenge.