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[Sciatica and occult sacral meningocele]

R Steimle, G Jacquet, A Abdul-Razzak

    Neuro-Chirurgie
    |January 1, 1976
    PubMed
    Summary
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    This case study details a non-communicating meningocoele, a rare dural cyst, causing chronic back and sciatic pain. Surgical intervention successfully addressed the cyst and a coexisting disc herniation.

    Area of Science:

    • Neurosurgery
    • Radiology
    • Pathology

    Background:

    • Chronic back pain and sciatica can indicate underlying spinal pathologies.
    • Sacral meningocoeles are rare cystic lesions of the dura mater.
    • Diagnostic imaging plays a crucial role in identifying spinal abnormalities.

    Observation:

    • A 43-year-old male presented with 7-8 years of back pain and subsequent sciatica.
    • Radiography revealed an abnormal sacral cavity (S1-S3); Dimer X radiculography showed a cystic formation at S2.
    • Surgical exploration identified an L5-S1 disc herniation and a large epidural cyst compressing S1 nerve roots.

    Findings:

    • Histological examination confirmed the sacral cyst as a non-communicating meningocoele, a dural herniation.
    • The cyst was epidural, compressing superior S1 nerve roots.

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  • A coexisting L5-S1 disc protrusion was also identified and surgically treated.

    • Implications:

    • This case highlights the importance of considering meningocoeles in the differential diagnosis of chronic back and sciatic pain.
    • Accurate radiological assessment is vital for differentiating types of meningocoeles and associated pathologies.
    • Surgical management can effectively alleviate symptoms associated with meningocoeles and disc herniations.