“…The majority of the postoperative pseudomeningoceles occurring after lumbar spine surgeries are small, asymptomatic and resolve spontaneously 5. However, some patients may present different neurological manifestations, which may appear in a time frame that varies from a few months to several years after the surgery 5–13. According to the few cases previously reported, positional syncope is a rare presentation, which may be accompanied by paroxystic movements, headache, transient neurological deficits, between others 6 10–12 14 15.…”