2021 Volume 12 Issue 4 Pages 668-671
The authors performed a cyst-subarachnoid shunt for symptomatic sacral perineal cyst.
Case Report: We treated a case of symptomatic sacral perineal cyst in a 44-year-old woman who had left-sided sciatica and urinary disturbance. Magnetic resonance Imaging (MRI), myelography and enhanced Computed Tomography (CT) of the cyst showed a cystic lesion in the sacral area which was compressing the dural sac. The contrast medium revealed that the cyst was communicated with the subarachnoid space. A cyst-subarachnoid shunt tube was set to equalize the cerebrospinal fluid pressure between the cephalad dural sac and the cyst.
Conclusions: After surgery, the patient had an uneventful postoperative course, and neurological improvement was obtained immediately.