Evidence map›Paper›PMID 38026491›Full record

ArticleFrontiers in surgery2023

Sacral terminal filar cyst: a distinct variant of spinal meningeal cyst and midterm clinical outcome following combination resection surgery.

Guozhong Lin, Chenlong Yang, Tao Yu, Jia Zhang, Yu Si, Chao Wu, Changcheng Ma, Bin Liu, Jun Yang, Jingcheng Xie

Abstract read
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Article in Frontiers in surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Guozhong Lin *Department of Neurosurgery, Peking University Third Hospital, Beijing, China.
Chenlong Yang *Department of Neurosurgery, Peking University Third Hospital, Beijing, China.
Tao YuDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.
Jia ZhangDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.
Yu SiDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.
Chao WuDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.
Changcheng MaDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.
Bin LiuDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.
Jun YangDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.
Jingcheng XieDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Spinal meningeal cysts (SMCs) are currently classified into three types: extradural cysts without nerve root fibers (Type I), extradural cysts with nerve root fibers (Type II), and intradural cysts (Type III). However, the sacral terminal filar cyst is a distinct subtype with the filum terminale rather than nerve roots within the cyst. This study aimed to investigate the clinicoradiological characteristics and surgical outcomes of sacral terminal filar cysts. Methods: A total of 32 patients with sacral terminal filar cysts were enrolled. Clinical and radiological profiles were collected. All patients were surgically treated, and preoperative and follow-up neurological functions were evaluated. Results: Chronic lumbosacral pain and sphincter dysfunctions were the most common symptoms. On MRI, the filum terminale could be identified within the cyst in all cases, and low-lying conus medullaris was found in 23 (71.9%) cases. The filum terminale was dissociated and cut off in all cases, and the cyst wall was completely resected in 23 (71.9%) cases. After a median follow-up period of 26.5 ± 15.5 months, the pain and sphincter dysfunctions were significantly improved (both Conclusions: Sacral terminal filar cysts are rare, representing a distinct variant of SMCs. Typical MRI features, including filum terminale within the cyst and low-lying conus medullaris, may suggest the diagnosis. Although the optimal surgical strategy remains unclear, we recommend a combination of resection of the cyst wall and dissociation of the filum terminale. The clinical outcomes can be favorable.

Indexed as

filum terminaleMRIoutcomesacral terminal filar cystspinal meningeal cystsurgery

Identifiers

PMID38026491
PMCPMC10654982

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.