Post-operative gigantic lumbar pseudomeningocele: A case report
Postoperative pseudomeningocele is a rare, but still existing, complication after spinal surgeries. It may be asymptomatic or presented with back pain, radicular pain or headaches. Many pseudomeningoceles resolve spontaneously, others require revision surgery with dural repair. We present a female p...
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| Format: | Article |
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Pensoft Publishers
2024-12-01
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| Series: | Folia Medica |
| Online Access: | https://foliamedica.bg/article/126479/download/pdf/ |
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| author | Dionysia Fermeli Vasileios Panagiotopoulos Dimitrios Papadakos Andreas Theofanopoulos Petros Zampakis Constantine Constantoyannis |
| author_facet | Dionysia Fermeli Vasileios Panagiotopoulos Dimitrios Papadakos Andreas Theofanopoulos Petros Zampakis Constantine Constantoyannis |
| author_sort | Dionysia Fermeli |
| collection | DOAJ |
| description | Postoperative pseudomeningocele is a rare, but still existing, complication after spinal surgeries. It may be asymptomatic or presented with back pain, radicular pain or headaches. Many pseudomeningoceles resolve spontaneously, others require revision surgery with dural repair. We present a female patient who underwent duroplasty treatment for a massive postoperative lumbar pseudomeningocele measuring 22.57 cm in length after broad laminectomy. A 71-year-old female with previous thoracolumbar T10-L5 instrumentation surgery, underwent a L2-5 broad laminectomy due to severe canal stenosis at the L2-5 level. Intraoperatively, an accidental spotted durotomy occurred at the level of L4-5. Primary repair was not feasible, so artificial dura was placed. Postoperatively the patient presented with cerebrospinal fluid (CSF) leak, which was treated with external lumbar drain and bedrest. Three months later, our patient presented to our outpatient clinic with a large 15 cm long bulging mass at the surgical site without any neurological deficit. A lumbar CT scan was conducted and a gigantic lumbar pseudomeningocele of 22.57 cm length and 6.29 cm width from the level of T11 to S2 was observed. We performed a revision surgery with duroplasty and there was no recurrence of CSF leak or pseudomeningocele after 7 months follow-up. Pseudomeningoceles are rare post-operative complications. Although treatment options are controversial, they should be recognized soon enough in order to avoid central nervous infections, neurological deficits and further comorbidities. |
| format | Article |
| id | doaj-art-dde2b205a6aa48b2bd125febb04b2edd |
| institution | Kabale University |
| issn | 1314-2143 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Pensoft Publishers |
| record_format | Article |
| series | Folia Medica |
| spelling | doaj-art-dde2b205a6aa48b2bd125febb04b2edd2025-01-07T08:30:13ZengPensoft PublishersFolia Medica1314-21432024-12-0166691191610.3897/folmed.66.e126479126479Post-operative gigantic lumbar pseudomeningocele: A case reportDionysia Fermeli0Vasileios Panagiotopoulos1Dimitrios Papadakos2Andreas Theofanopoulos3Petros Zampakis4Constantine Constantoyannis5University Hospital of PatrasUniversity Hospital of PatrasUniversity Hospital of PatrasUniversity Hospital of PatrasUniversity Hospital of PatrasUniversity Hospital of PatrasPostoperative pseudomeningocele is a rare, but still existing, complication after spinal surgeries. It may be asymptomatic or presented with back pain, radicular pain or headaches. Many pseudomeningoceles resolve spontaneously, others require revision surgery with dural repair. We present a female patient who underwent duroplasty treatment for a massive postoperative lumbar pseudomeningocele measuring 22.57 cm in length after broad laminectomy. A 71-year-old female with previous thoracolumbar T10-L5 instrumentation surgery, underwent a L2-5 broad laminectomy due to severe canal stenosis at the L2-5 level. Intraoperatively, an accidental spotted durotomy occurred at the level of L4-5. Primary repair was not feasible, so artificial dura was placed. Postoperatively the patient presented with cerebrospinal fluid (CSF) leak, which was treated with external lumbar drain and bedrest. Three months later, our patient presented to our outpatient clinic with a large 15 cm long bulging mass at the surgical site without any neurological deficit. A lumbar CT scan was conducted and a gigantic lumbar pseudomeningocele of 22.57 cm length and 6.29 cm width from the level of T11 to S2 was observed. We performed a revision surgery with duroplasty and there was no recurrence of CSF leak or pseudomeningocele after 7 months follow-up. Pseudomeningoceles are rare post-operative complications. Although treatment options are controversial, they should be recognized soon enough in order to avoid central nervous infections, neurological deficits and further comorbidities.https://foliamedica.bg/article/126479/download/pdf/ |
| spellingShingle | Dionysia Fermeli Vasileios Panagiotopoulos Dimitrios Papadakos Andreas Theofanopoulos Petros Zampakis Constantine Constantoyannis Post-operative gigantic lumbar pseudomeningocele: A case report Folia Medica |
| title | Post-operative gigantic lumbar pseudomeningocele: A case report |
| title_full | Post-operative gigantic lumbar pseudomeningocele: A case report |
| title_fullStr | Post-operative gigantic lumbar pseudomeningocele: A case report |
| title_full_unstemmed | Post-operative gigantic lumbar pseudomeningocele: A case report |
| title_short | Post-operative gigantic lumbar pseudomeningocele: A case report |
| title_sort | post operative gigantic lumbar pseudomeningocele a case report |
| url | https://foliamedica.bg/article/126479/download/pdf/ |
| work_keys_str_mv | AT dionysiafermeli postoperativegiganticlumbarpseudomeningoceleacasereport AT vasileiospanagiotopoulos postoperativegiganticlumbarpseudomeningoceleacasereport AT dimitriospapadakos postoperativegiganticlumbarpseudomeningoceleacasereport AT andreastheofanopoulos postoperativegiganticlumbarpseudomeningoceleacasereport AT petroszampakis postoperativegiganticlumbarpseudomeningoceleacasereport AT constantineconstantoyannis postoperativegiganticlumbarpseudomeningoceleacasereport |