Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1396
6
1
gregorian
2017
9
1
3
2
online
1
fulltext
en
Normal Pressure Hydrocephalus Presentation with a Large Pseudomeningocele
Research
<strong>Background and Importance: </strong>This interesting case is about the presence of normal pressure hydrocephalus and a large pseudomeningocele at the same time after 13 months of posterior fossa surgery. Although the occurrence of a pseudomeningocele following posterior fossa surgery is not so rare, such a late large pseudomeningocele development with signs and symptoms of NPH after 13 months of surgery is rather peculiar. <br>
<br>
<strong>Case Presentation:</strong> A 59-year-old man referred to our clinic for a cerebellopontine angle tumor. The patient presented with right hearing loss and mild facial palsy. We operated the patient with retrosigmoid approach, and we discharged him after five days. After about 13 months, the patient referred to our center again with complaint of progressive bulging of previous surgical region and gait apraxia, urinary incontinence and dementia. A large pseudomeningocele in the site of previous surgery was seen.<br>
<br>
<strong>Conclusion: </strong>The authors presented a case report on late development (13 months) of a huge pseudomeningocele following vestibular schwannoma surgery with signs and symptoms of normal pressure hydrocephalus. Such a late big pseudomeningocele presentation with signs and symptoms of normal pressure hydrocephalus after posterior fossa surgery is peculiar.<br>
Hydrocephalus, Pseudomeningocele, Intracranial, Pressure
73
77
http://irjns.org/browse.php?a_code=A-10-44-4&slc_lang=en&sid=1
Ehsan
Alimohammadi
hafez125@gmail.com
10031947532846001235
10031947532846001235
Yes
MD, Resident of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Guive
Sharifi
10031947532846001236
10031947532846001236
No
MD, Associate Professor of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammad
Samadian
10031947532846001237
10031947532846001237
No
MD, Associate Professor of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Kaveh
Ebrahimzadeh
10031947532846001238
10031947532846001238
No
MD, Assistant Professor of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Omidvar
Rezaei
10031947532846001239
10031947532846001239
No
MD, Professor of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran