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MRI evaluation of sacral cysts

M Boukobza1, J P Sichez, E Rolland

  • 1Service de Neuroradiologie, groupe hospitalier Pitié-Salpêtrière, Paris.

Journal of Neuroradiology = Journal De Neuroradiologie
|December 1, 1993
PubMed
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Sacral meningeal cysts are a distinct condition with varied symptoms. Magnetic resonance imaging (MRI) is the best method for diagnosing these cysts, showing their fluid content and intrasacral development.

Area of Science:

  • Neurology
  • Radiology
  • Neurosurgery

Background:

  • Sacral cysts, also known as intrasacral sacral meningeal cysts, represent a recognized clinical entity.
  • These cysts often present with diverse and varied clinical symptoms.
  • Published literature on the magnetic resonance (MR) imaging aspects of these cysts is limited.

Purpose of the Study:

  • To present the MR imaging findings of intrasacral sacral meningeal cysts.
  • To highlight the utility of MRI in evaluating these lesions.
  • To compare the efficacy of MRI versus CT scan for diagnosing sacral cysts.

Main Methods:

  • Retrospective analysis of six patients with sacral cysts.
  • Detailed review of MR imaging characteristics.
  • Comparison with CT scan findings where available.

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Main Results:

  • MRI effectively demonstrates the cystic, fluid-filled nature of intrasacral sacral meningeal cysts.
  • Sagittal MRI views are particularly useful for assessing intrasacral development.
  • MRI offers superior visualization compared to CT scan.

Conclusions:

  • Intrasacral sacral meningeal cysts are identifiable lesions with varied presentations.
  • MRI is the preferred imaging modality for evaluating sacral cysts due to its ability to depict fluid content and anatomical details.
  • MRI provides a comprehensive assessment of these lesions, surpassing CT scan capabilities.