en Gamma Knife Radiosurgery Case report <p style="text-align: justify;">Background and Importance: Pseudomeningocele is a rare complication of spine surgery, and it is the collection of cerebrospinal fluid in&nbsp;paraspinal tissues. Giant pseudomeningoceles are still rare, and very few cases have been reported in literature. It is usually occult in presentation,&nbsp;and patients do not have any symptoms ascribable to it.<br> Case Presentation: We came across two symptomatic patients with post laminectomy pseudomeningoceles in past one year at our institution. The&nbsp;patients were managed with surgical closure of the dural defect. Both patients were asymptomatic post-operatively and doing well on follow up.<br> Conclusion: Reappearance of neurological symptoms in a patient undergoing spine surgery previously needs careful evaluation. Rarely the&nbsp;symptoms of failed back surgery are seen to be arising due to a pseudomeningocele.</p> Pseudomeningocele, Incidental Durotomy, Laminectomy, Failed Back Syndrome 15 18 http://irjns.org/browse.php?a_code=A-10-30-1&slc_lang=en&sid=1 Rakesh Gupta راکش گوپتا 10031947532846003087 10031947532846003087 No MD, Professor, Department of Neurosurgery, Sri Aurobindo Medical College and PG Institute, Indore, India Sharadendu Narayan شارادندو نارایان sharad_jsr@yahoo.com 10031947532846003088 10031947532846003088 Yes MD, MCh Resident, Department of Neurosurgery, Sri Aurobindo Medical College and PG Institute, Indore, India