Anterior sacral meningocele [Neurosurgery Wiki]

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
====== Anterior sacral meningocele ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1D73V0aa8O8dK7mewuq8utUuhWxTnZkXLG753uZm07C6ACaYX_/?limit=15&utm_campaign=pubmed-2&fc=20230103092525}}
----

----

Anterior sacral meningoceles are congenital lesions that consist of a spinal fluid-filled sac in the pelvis communicating by a small neck with the spinal subarachnoid space through a defect in the sacrum.
They protrude into retroperitoneal and presacral space.
((Villarejo F, Scavone C, Blazquez MG, Pascual-Castroviejo I, Perez-Higueras A, Fernandez-Sanchez A, Garcia Bertrand C. Anterior sacral meningocele: review of the literature. Surg Neurol. 1983 Jan;19(1):57-71. doi: 10.1016/0090-3019(83)90212-4. PMID: 6828997.))
((Sharma V, Mohanty S, Singh DR. Uncommon craniospinal dysraphism. Ann Acad Med Singap. 1996 Jul;25(4):602-8. PMID: 8893940.)).

The wall of the sac consists of two layers, an inner arachnoid membrane and outer dura mater, which extends into the retroperitoneal presacral space from the sacral spinal canal
((Somuncu S, Aritürk E, Iyigün O, Bernay F, Rizalar R, Günaydin M, Gürses N. A case of anterior sacral meningocele totally excised using the posterior sagittal approach. J Pediatr Surg. 1997 May;32(5):730-2. doi: 10.1016/s0022-3468(97)90018-x. PMID: 9165463.)).
----


Anterior sacral [[meningocele]] was first described in [[1837]] as a part of [[neural tube defect]] (NTD) spectrum.

----
It may be associated with a syndrome like [[Currarino syndrome]] 
((CALIHAN RJ. Anterior sacral meningocele. Radiology. 1952 Jan;58(1):104-8. doi: 10.1148/58.1.104. PMID: 14883380.))
which includes anorectal malformations, sacral bony defect and presacral mass; and [[Marfan syndrome]] wherein the etiology may be disorder of collagen biosynthesis and structure at the dural level
((North RB, Kidd DH, Wang H. Occult, bilateral anterior sacral and intrasacral meningeal and perineurial cysts: case report and review of the literature. Neurosurgery. 1990 Dec;27(6):981-6. doi: 10.1097/00006123-199012000-00020. PMID: 2274142.)).
===== Epidemiology =====

[[Anterior sacral meningocele epidemiology]]




==== Anterior sacral meningocele in Marfan syndrome ====
 
[[Anterior sacral meningocele in Marfan syndrome]]


===== Classification =====

[[Anterior sacral meningocele classification]].

===== Etiology =====

[[Anterior sacral meningocele etiology]].


===== Pathology =====
Associated malformations are found:

[[spina bifida]]

[[spinal dysraphism]]

[[bicornuate uterus]]

[[imperforate anus]]
((Dahan H, Arrivé L, Wendum D, Docou le Pointe H, Djouhri H, Tubiana JM. Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment. Radiographics. 2001 May-Jun;21(3):575-84. doi: 10.1148/radiographics.21.3.g01ma13575. PMID: 11353107.)).

===== Clinical features =====

[[Anterior sacral meningocele clinical features]].


===== Diagnosis =====

[[Anterior sacral meningocele diagnosis]].


===== Differential diagnosis =====

[[Anterior sacral meningocele differential diagnosis]].


===== Complications =====

[[Anterior sacral meningocele complications]].

===== Treatment =====

[[Anterior Sacral Meningocele Treatment]].



===== Case reports =====

[[Anterior sacral meningocele case reports]].