Cervical meningocoele presenting as a neck mass in a patient with neurofibromatosis 1

Freund, Brian; Timon, Conrad

doi:10.1017/s002221510011984x

Cited by 19 publications

(17 citation statements)

References 8 publications

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“…1,2,5,10,16 The high incidence of thoracic meningocele is considered to be caused by a pressure gradient between the subarachnoid space and the intrapleural space. Widening of the internal auditory canals and optic canals due to dural ectasia has rarely been reported in patients with NF1.…”

Section: Discussionmentioning

confidence: 99%

Suboccipital meningocele presenting as a huge retropharyngeal mass in a patient with neurofibromatosis Type 1

Kurimoto¹,

Hirashima²,

Hayashi³

et al. 1999

Journal of Neurosurgery

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The authors report an extremely rare case of neurofibromatosis Type 1 (NF1) with a suboccipital meningocele presenting as a huge retropharyngeal mass. A 73-year-old woman with typical cutaneous manifestations of NF1 presented with nasal obstruction and dysphagia due to a retropharyngeal mass. Magnetic resonance imaging revealed a huge mass lesion extending from the right occipital bone defect to the retropharynx through the right paravertebral region. Computerized tomography scanning after intrathecal administration of contrast material confirmed that the mass was a meningocele protruding through a right occipital bone defect. The authors attempted to ligate this meningocele, most of which was excised via a suboccipital approach, but a second transcervical operation was required. Finally, the meningocele resolved and the patient was discharged without symptoms.

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Section: Discussionmentioning

confidence: 99%

Suboccipital meningocele presenting as a huge retropharyngeal mass in a patient with neurofibromatosis Type 1

Kurimoto¹,

Hirashima²,

Hayashi³

et al. 1999

Journal of Neurosurgery

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“…This pathology has a slight predominance in females. The area with greater number of cases is the thoracic region, but these cysts has also been reported in the cervical 15 and lumbar regions 16 . This rare entity, whose real incidence is difficult to calculate because of the shortage of symptoms, is incidentally discovered during the performance of a plain X-ray of the thorax.…”

Section: Discussionmentioning

confidence: 99%

Giant intrthoracic meningoceles associated with cutaneous neurofibromatosis type I: case report

Andrade

Braga

Hisatugo

et al. 2003

Arq. Neuro-Psiquiatr.

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-Background: Intrathoracic meningocele is a rare pathology, almost always associated with neurofibromatosis type I and with a few cases related in the literature. In the majority of cases cysts are small or asymptomatic, and the surgery is indicated when big or symptomatic cysts are present. We report a case of giant intrathoracic cysts surgically extirpated through out thoracotomy. Case: A 59-year-old male with familiar Von Recklinghausen´s disease which developed thoracic radicular pain after a fall. On examination he presented some difficulty in walking fast and dyspneia on small efforts. The chest plain x-ray showed the presence of 3 huge left side intrathoracic cysts (10 to 15cm). The patient was submitted to a surgical treatment and complete extirpation of the cysts was performed through a left side thoracotomy. During the surgery a fourth smaller cyst was detected and also extirpated. Evolution was uneventful and the patient remains well in these last 12 years. This finding of intrathoracic cysts related to neurofibromatosis type I is rare and is probably unique in the literature the presence of 4 huge cysts in one side of the thorax.KEY WORDS: intrathoracic meningocele, neurofibromatosis type I. Meningoceles intratorácicas gigantes associadas a neurofibromatose tipo I: relato de casoRESUMO -Meningocele intratorácica é patologia rara e, quando presente, está quase sempre associada a neurofibromatose tipo I. Há poucos casos descritos na literatura e em sua maioria destes são de cistos pequenos ou assintomáticos, sendo a cirurgia indicada quando são grandes ou sintomáticos. Relatamos o caso de um homem de 59 anos com a doença de Von Recklinghausen familiar, com cistos gigantes extirpados cirurgicamente através de toracotomia. PALAVRAS-CHAVE: meningocele intratorácica, neurofibromatose tipo I.

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“…There are usually no neurologic deficits unless the mass impinges on adjacent nerves 2 . Cervical, thoracic, and lumbar meningoceles have been described in association with spina bifida in humans 3 . In humans, lesions in the thoracic region occur more frequently compared to the cervical or lumbar spine 3 .…”

Section: Discussionmentioning

confidence: 99%

“…In humans, treatment by aspiration of the cyst is ineffective because the cyst rapidly refills, and there is an attendant risk of inducing meningitis. Resection is necessary if the meningocele occurs in a location that causes discomfort or if it continues to enlarge and impinge on adjacent soft tissue structures 3 . Resection is also performed prophylactically because these lesions can enlarge 3 .…”

Section: Discussionmentioning

confidence: 99%

Surgical Repair of a Thoracic Meningocele in a Foal

et al. 1999

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A 6 week old American Paint filly was admitted for evaluation of a dorsal thoracic mass suspected to be a meningocele. The diagnosis was confirmed by plain and contrast enhanced computed tomography. Surgical repair was performed by dissection of the base of the meningocele followed by ligation. No postoperative complications occurred. Contrast enhanced computed tomography was useful to confirm the diagnosis of meningocele and rule out a meningomyelocele.

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Cervical meningocoele presenting as a neck mass in a patient with neurofibromatosis 1

Cited by 19 publications

References 8 publications

Suboccipital meningocele presenting as a huge retropharyngeal mass in a patient with neurofibromatosis Type 1

Suboccipital meningocele presenting as a huge retropharyngeal mass in a patient with neurofibromatosis Type 1

Giant intrthoracic meningoceles associated with cutaneous neurofibromatosis type I: case report

Surgical Repair of a Thoracic Meningocele in a Foal

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