Volume 2, Issue 1 (6-2016)                   Iran J Neurosurg 2016, 2(1): 15-18 | Back to browse issues page


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Gupta R, Narayan S. Post-operative Pseudomeningocele after Spine Surgery: Rare Cause of Failed Back Syndrome. Iran J Neurosurg 2016; 2 (1) :15-18
URL: http://irjns.org/article-1-32-en.html
1- MD, Professor, Department of Neurosurgery, Sri Aurobindo Medical College and PG Institute, Indore, India
2- MD, MCh Resident, Department of Neurosurgery, Sri Aurobindo Medical College and PG Institute, Indore, India , sharad_jsr@yahoo.com
Abstract:   (5985 Views)

Background and Importance: Pseudomeningocele is a rare complication of spine surgery, and it is the collection of cerebrospinal fluid in paraspinal tissues. Giant pseudomeningoceles are still rare, and very few cases have been reported in literature. It is usually occult in presentation, and patients do not have any symptoms ascribable to it.
Case Presentation: We came across two symptomatic patients with post laminectomy pseudomeningoceles in past one year at our institution. The patients were managed with surgical closure of the dural defect. Both patients were asymptomatic post-operatively and doing well on follow up.
Conclusion: Reappearance of neurological symptoms in a patient undergoing spine surgery previously needs careful evaluation. Rarely the symptoms of failed back surgery are seen to be arising due to a pseudomeningocele.

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Type of Study: Case report | Subject: Gamma Knife Radiosurgery

References
1. Lee KS, Hardy IM. Post laminectomy lumbar pseudomeningocele: report of four cases.Neurosurgery. 1992;30:111-114. [DOI:10.1227/00006123-199201000-00020]
2. Miller PR, Elder FW Jr. Meningeal pseudocysts (meningocele spurius) following laminectomy. Report of ten cases. J Bone Joint Surg Am. 1968;50:268-276. [DOI:10.2106/00004623-196850020-00005] [PMID]
3. Hyndman OR, Gerber WF. Spinal extradural cysts, congenital and acquired: report of cases. Journal of Neurosurgery. 1946;3(6):474-86. [DOI:10.3171/jns.1946.3.6.0474] [PMID]
4. Swanson HS, Fincher EF. Extradural arachnoidal cysts of traumatic origin. Journal of Neurosurgery. 1947;4(6):530-8. [DOI:10.3171/jns.1947.4.6.0530] [PMID]
5. Teplick JG, Peyster RG, Teplick SK, Goodman LR, Haskin ME. CT identification of postlaminectomy pseudomeningocele. American Journal of Neuroradiology. 1983;4(2):179-82.
6. Rahimizadeh A et al. Post laminectomy lumbar pseudomeningocele: Report of three cases and review of the literature. WScJ. 2013;4:103-108.
7. Koo J, Adamson R, Wagner FC, Hrdy DB. A new cause of chronic meningitis: infected lumbar pseudomeningocele. The American Journal of Medicine. 1989;86(1):103-4. [DOI:10.1016/0002-9343(89)90238-6]
8. Dastur HM. The radiological appearances of spinal extradural arachnoid cysts. Journal of Neurology, Neurosurgery & Psychiatry. 1963;26(3):231-5. [DOI:10.1136/jnnp.26.3.231]
9. Weng YJ, Cheng CC, Li YY, Huang TJ, Hsu RW. Management of giant pseudomeningoceles after spinal surgery. BMC Musculoskeletal Disorders. 2010;11(1):1. [DOI:10.1186/1471-2474-11-53] [PMID] [PMCID]
10. Liu C, Cai HX, Fan SW, Liu YJ. Postoperative pseudomeningocele in a 40-year-old man. Irish Journal of Medical Science. 2011;180(4):925-7. [DOI:10.1007/s11845-010-0598-8] [PMID]
11. Hamilton RG, Brown SW, Goetz LL, Miner M. Lumbar pseudomeningocele causing hydronephrosis. The journal of Spinal Cord Medicine. 2009;32(1):95. [DOI:10.1080/10790268.2009.11760758] [PMID] [PMCID]
12. Srilomsak P, Okuno K, Sakakibara T, Wang Z, Kasai Y. Giant pseudomeningocele after spinal surgery: A case report. World Journal of Orthopedics. 2012;3(7):109. [DOI:10.5312/wjo.v3.i7.109] [PMID] [PMCID]
13. Hader WJ, Fairholm D. Giant intraspinal pseudomeningoceles cause delayed neurological dysfunction after brachial plexus injury: report of three cases. Neurosurgery. 2000;46(5):1245-9. [DOI:10.1097/00006123-200005000-00044]
14. Kotani Y, Abumi K, Ito M, Terae S, Hisada Y, Minami A. Neurological recovery after surgical treatment of giant cervical pseudomeningoceles extending to lumbar spine associated with previous brachial plexus injury. European Spine Journal. 2010;19(2):206-10. [DOI:10.1007/s00586-010-1387-9] [PMID] [PMCID]
15. Aoki N. Lumboperitoneal shunt for the treatment of postoperative persistent collection of subcutaneous cerebrospinal fluid (pseudomeningocoele). Acta Neurochirurgica. 1989;98(1-2):32-4. [DOI:10.1007/BF01407173]

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