Giant cervical pseudomeningocoele following brachial plexus trauma

Singh, Manmohan; Kasliwal, Manish K.; Mahapatra, Ashok Kumar

doi:10.1016/j.jocn.2006.06.025

Cited by 8 publications

(5 citation statements)

References 5 publications

(1 reference statement)

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“…20,21 There are few reports and no definitive recommendations on management of giant pseudomeningoceles, particularly in patients who undergo revision operations. 4, [18][19][20]22 Some have reported spontaneous resolution of giant pseudomeningoceles, potentially through slow healing of the dural tear and gradual reabsorption of extradural CSF. 18 Solomon et al 18 report on 2 patients with giant pseudomeningocele who achieved resolution with no surgical intervention ranging in follow-up time from 3 months to 3 years and thus recommend conservative management with observation for infection and recurrence or worsening of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Management of Giant Sacral Pseudomeningocele in Revision Spine Surgery

et al. 2020

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Background: Giant pseudomeningoceles are an uncommon complication of spine surgery. Surgical management and extirpation can be difficult, and guidelines remain unclear. Methods: Here, we present a 56-year-old female patient with a history of grade III L5-S1 spondylolisthesis who was treated with 2 prior spine surgeries. The patient was treated with bone grafting for pseudarthrosis and instrumentation from L4 to ilium. After unsuccessful intraoperative and postoperative cerebrospinal fluid drainage and dural repair, the patient presented to the emergency room with debilitating positional headaches. Results: The patient underwent dural repair with bovine pericardial patch inlay sutured with 7-0 prolene, blood patch, and a dural sealant. Plastic surgery performed a layered closure, using acellular dermal matrix over the dural closure. The bilateral paraspinal flaps were advanced medially to cover the entirety of the acellular dermal matrix, and the fasciocutaneous flaps were then advanced to the midline for a watertight closure. At 3-month follow-up, the patient was headache free and had returned to her activities of daily living. Conclusions: We conclude that early consultation with plastic surgery can be greatly beneficial to effectively extirpate dead space and resolve giant sacral pseudomeningoceles, especially if there is concern of persistent cerebrospinal fluid leakage due to relatively immobile avascular soft tissue as a result of prior revision surgery.

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Section: Discussionmentioning

confidence: 99%

Management of Giant Sacral Pseudomeningocele in Revision Spine Surgery

et al. 2020

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“…Pseudomeningocoeles usually form in the setting of trauma or as a complication of intentional or accidental durotomy at surgery, [1][2][3][4][5][6] while true meningocoeles occur in the setting of spinal dysraphism.…”

Section: Discussionmentioning

confidence: 99%

“…http://dx.doi.org/10.17159/2078-5151/2017/v65n3a2464 A history of spinal trauma or else surgery to the spine is helpful in increasing the index of suspicion for the condition, and this should always be considered in the appropriate clinical setting. 1,2,[4][5][6][7] Where symptoms do occur, these have been ascribed to the sheer size that some of these lesions can achieve, or else neurological deficits occasioned by herniation into or compression of nerve roots and the spinal cord into the sac. 2,[4][5][6][7] The management of symptomatic psedomeningocoeles of the spine is generally by direct exposure of the lesion, removal of the cyst wall and repair of the dural defect.…”

Section: S Afr J Surg 2018;56(3)mentioning

confidence: 99%

“…1,2,[4][5][6][7] Where symptoms do occur, these have been ascribed to the sheer size that some of these lesions can achieve, or else neurological deficits occasioned by herniation into or compression of nerve roots and the spinal cord into the sac. 2,[4][5][6][7] The management of symptomatic psedomeningocoeles of the spine is generally by direct exposure of the lesion, removal of the cyst wall and repair of the dural defect. 1,2 Some large ones have been managed indirectly by CSF diversion shunts, 6 while there are reports of spontaneous resolution of pseudomeningocoeles.…”

Section: S Afr J Surg 2018;56(3)mentioning

confidence: 99%

“…2,[4][5][6][7] The management of symptomatic psedomeningocoeles of the spine is generally by direct exposure of the lesion, removal of the cyst wall and repair of the dural defect. 1,2 Some large ones have been managed indirectly by CSF diversion shunts, 6 while there are reports of spontaneous resolution of pseudomeningocoeles. 8,9 This case report is unique in that there is hardly any mention in the literature of this condition occurring in the setting of physical exertion.…”

Section: S Afr J Surg 2018;56(3)mentioning

confidence: 99%

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