{"id":"https://openalex.org/W1997020481","doi":"https://doi.org/10.1227/01.neu.0000197486.65781.88","title":"Cystic Dilation of the Conus Ventriculus Terminalis Presenting as an Acute Cauda Equina Syndrome Relieved by Decompression and Cyst Drainage: Case Report","display_name":"Cystic Dilation of the Conus Ventriculus Terminalis Presenting as an Acute Cauda Equina Syndrome Relieved by Decompression and Cyst Drainage: Case Report","publication_year":2006,"publication_date":"2006-03-01","ids":{"openalex":"https://openalex.org/W1997020481","doi":"https://doi.org/10.1227/01.neu.0000197486.65781.88","mag":"1997020481","pmid":"https://pubmed.ncbi.nlm.nih.gov/16528154"},"language":"en","primary_location":{"id":"doi:10.1227/01.neu.0000197486.65781.88","doi":"https://doi.org/10.1227/01.neu.0000197486.65781.88","is_oa":false,"landing_page_url":"https://doi.org/10.1227/01.neu.0000197486.65781.88","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057332266","display_name":"Jonathan L. Brisman","orcid":"https://orcid.org/0000-0003-2930-5927","observed_orcids":["https://orcid.org/0000-0003-2930-5927"]},"institutions":[{"id":"https://openalex.org/I4210161964","display_name":"Providence Hospital","ror":"https://ror.org/0123meh57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320343167","https://openalex.org/I4210161964"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jonathan L. Brisman","raw_affiliation_strings":["Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington","institution_ids":["https://openalex.org/I4210161964"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054298240","display_name":"Maria Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161964","display_name":"Providence Hospital","ror":"https://ror.org/0123meh57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320343167","https://openalex.org/I4210161964"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maria Li","raw_affiliation_strings":["Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington","institution_ids":["https://openalex.org/I4210161964"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023451429","display_name":"D. Koho Hamilton","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161964","display_name":"Providence Hospital","ror":"https://ror.org/0123meh57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320343167","https://openalex.org/I4210161964"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dean Hamilton","raw_affiliation_strings":["Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington","institution_ids":["https://openalex.org/I4210161964"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038268093","display_name":"Marc R. Mayberg","orcid":"https://orcid.org/0000-0002-6718-7143","observed_orcids":["https://orcid.org/0000-0002-6718-7143"]},"institutions":[{"id":"https://openalex.org/I4210161964","display_name":"Providence Hospital","ror":"https://ror.org/0123meh57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320343167","https://openalex.org/I4210161964"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marc R. Mayberg","raw_affiliation_strings":["Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington","institution_ids":["https://openalex.org/I4210161964"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113487176","display_name":"David W. Newell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161964","display_name":"Providence Hospital","ror":"https://ror.org/0123meh57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320343167","https://openalex.org/I4210161964"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David W. Newell","raw_affiliation_strings":["Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurosurgical Service, Seattle Neuroscience Institute at Swedish Providence Hospital, Seattle, Washington","institution_ids":["https://openalex.org/I4210161964"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210161964"],"apc_list":null,"apc_paid":null,"fwci":1.332,"has_fulltext":false,"cited_by_count":27,"citation_normalized_percentile":{"value":0.80975205,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"58","issue":"3","first_page":"E585","last_page":"E585"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":0.8984000086784363,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":0.8984000086784363,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.06319999694824219,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13533","display_name":"Medical Case Reports and Studies","score":0.006800000090152025,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/conus-medullaris","display_name":"conus medullaris","score":0.718999981880188},{"id":"https://openalex.org/keywords/cystic-dilation","display_name":"cystic dilation","score":0.781000018119812},{"id":"https://openalex.org/keywords/cauda-equina-syndrome","display_name":"cauda equina syndrome","score":0.9629999995231628},{"id":"https://openalex.org/keywords/surgical-decompression","display_name":"surgical decompression","score":0.7229999899864197},{"id":"https://openalex.org/keywords/cyst-drainage","display_name":"cyst drainage","score":0.9869999885559082},{"id":"https://openalex.org/keywords/lower-limb-weakness","display_name":"lower limb weakness","score":0.7329999804496765},{"id":"https://openalex.org/keywords/saddle-anesthesia","display_name":"saddle anesthesia","score":0.7170000076293945},{"id":"https://openalex.org/keywords/bowel-and-bladder-incontinence","display_name":"bowel and bladder incontinence","score":0.9470000267028809},{"id":"https://openalex.org/keywords/sciatica","display_name":"sciatica","score":0.7289999723434448},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.6579999923706055}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9536558389663696},{"id":"https://openalex.org/C2780536975","wikidata":"https://www.wikidata.org/wiki/Q1051436","display_name":"Cauda equina syndrome","level":2,"score":0.668697714805603},{"id":"https://openalex.org/C2780415424","wikidata":"https://www.wikidata.org/wiki/Q1569338","display_name":"Conus medullaris","level":3,"score":0.6476765871047974},{"id":"https://openalex.org/C2780597408","wikidata":"https://www.wikidata.org/wiki/Q193211","display_name":"Cyst","level":2,"score":0.6453106999397278},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.620184063911438},{"id":"https://openalex.org/C2781300204","wikidata":"https://www.wikidata.org/wiki/Q1051445","display_name":"Cauda equina","level":3,"score":0.6015327572822571},{"id":"https://openalex.org/C2779480328","wikidata":"https://www.wikidata.org/wiki/Q1183684","display_name":"Decompression","level":2,"score":0.5016095638275146},{"id":"https://openalex.org/C7146039","wikidata":"https://www.wikidata.org/wiki/Q3624375","display_name":"Lumbosacral joint","level":2,"score":0.45234715938568115},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.4514816701412201},{"id":"https://openalex.org/C2776698514","wikidata":"https://www.wikidata.org/wiki/Q565276","display_name":"Sciatica","level":2,"score":0.44917529821395874},{"id":"https://openalex.org/C2780877482","wikidata":"https://www.wikidata.org/wiki/Q746416","display_name":"Sphincter","level":2,"score":0.421532541513443},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.40536001324653625},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.3521040976047516},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.30056872963905334},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.27002978324890137},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004108","descriptor_name":"Dilatation, Pathologic","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D004108","descriptor_name":"Dilatation, Pathologic","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D004322","descriptor_name":"Drainage","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009408","descriptor_name":"Nerve Compression Syndromes","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009408","descriptor_name":"Nerve Compression Syndromes","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D011128","descriptor_name":"Polyradiculopathy","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011128","descriptor_name":"Polyradiculopathy","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D019299","descriptor_name":"Decompression, Surgical","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1227/01.neu.0000197486.65781.88","doi":"https://doi.org/10.1227/01.neu.0000197486.65781.88","is_oa":false,"landing_page_url":"https://doi.org/10.1227/01.neu.0000197486.65781.88","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},{"id":"pmid:16528154","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16528154","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.7300000190734863}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W1864898366","https://openalex.org/W1975154459","https://openalex.org/W1975847869","https://openalex.org/W2027792505","https://openalex.org/W2039466984","https://openalex.org/W2080903101","https://openalex.org/W2108019251","https://openalex.org/W2112717823","https://openalex.org/W2116905490","https://openalex.org/W2343624721"],"related_works":["https://openalex.org/W2803187813","https://openalex.org/W2467470396","https://openalex.org/W2044559633","https://openalex.org/W2625952099","https://openalex.org/W2563507228","https://openalex.org/W2613693804","https://openalex.org/W4389132720","https://openalex.org/W2158381780","https://openalex.org/W1975154459","https://openalex.org/W2518925200"],"abstract_inverted_index":{"OBJECTIVE":[0],"AND":[1],"IMPORTANCE:":[2],"The":[3],"ventriculus":[4,44,138,172],"terminalis":[5,45,173],"of":[6,20,37,39,42,70,136,170,177],"the":[7,14,18,21,43,137,171,178],"conus,":[8],"or":[9,59,63],"\"fifth":[10],"ventricle\"":[11],"refers":[12],"to":[13,53,104],"ependymal-lined":[15],"space":[16],"in":[17,26,49,158,194],"middle":[19],"conus":[22,62],"that":[23],"is":[24,33],"present":[25,54],"childhood":[27],"and":[28,82,100,122,124,148,162],"whose":[29],"persistence":[30],"into":[31],"adulthood":[32],"rare.":[34],"A":[35,94],"number":[36],"cases":[38],"cystic":[40,134],"dilatation":[41,135],"have":[46],"been":[47,89],"described":[48],"adulthood.":[50],"Patients":[51],"tend":[52],"with":[55,67,76,188],"either":[56],"pain":[57,99],"alone":[58],"gradually":[60],"progressive":[61],"cauda":[64,79,183],"equina":[65,80,184],"syndromes":[66],"varying":[68],"degrees":[69],"recovery":[71],"after":[72,152],"cyst":[73,149,190],"drainage.":[74,150],"Presentation":[75],"an":[77],"acute":[78],"syndrome":[81],"its":[83],"successful":[84],"surgical":[85,146,186],"management":[86],"has":[87,163],"not":[88],"previously":[90],"reported.":[91],"CLINICAL":[92],"PRESENTATION:":[93],"57-year-old":[95],"woman":[96],"experienced":[97,155],"back":[98],"bilateral":[101,116],"sciatica":[102],"ascribed":[103],"diabetic":[105],"neuropathy":[106],"for":[107,144,181],"2":[108],"years.":[109],"Over":[110],"a":[111,132,182],"24-hour":[112],"period":[113],"she":[114,154],"developed":[115],"lower":[117,159],"extremity":[118,160],"weakness,":[119],"saddle":[120],"anesthesia,":[121],"bowel":[123],"bladder":[125],"incontinence.":[126],"Lumbosacral":[127],"magnetic":[128],"resonance":[129],"imaging":[130],"demonstrated":[131],"large":[133],"terminalis.":[139],"INTERVENTION:":[140],"She":[141],"was":[142],"taken":[143],"emergency":[145],"decompression":[147,187],"Immediately":[151],"surgery,":[153],"significant":[156],"increase":[157],"strength":[161],"since":[164],"regained":[165],"continence.":[166],"CONCLUSION:":[167],"Cystic":[168],"dilation":[169],"should":[174],"be":[175],"part":[176],"differential":[179],"diagnosis":[180],"syndrome;":[185],"simple":[189],"drainage":[191],"can":[192],"result":[193],"excellent":[195],"clinical":[196],"results.":[197]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}