Paraparesis after excision of intrathoracic meningoceles in a patient with neurofibromatosis

Nakai, Sadaaki; Ibe, Shigeharu; Otani, Kiyoshi

doi:10.1007/s776-002-8436-5

Cited by 2 publications

(4 citation statements)

References 16 publications

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“…Posterior T3-T5 extensive laminectomy 2. Meningectomy repair Chest tightness Surgery again for repair, and examination revealed no meningocele 4 months later 2002 [ 25 ] 16/M - cough, chest pain Multiple on the right / 5 and 8 Kyphosis / - 1.Thoracotomy and meningeal resection and repair Paraplegia of lower limbs Paralysis gradually recovered, and spinal fusion performed 6 months later …”

Section: Discussionmentioning

confidence: 99%

“…The most common clinical symptom reported was dyspnea, with an incidence rate of 17/21 [ 5 – 7 , 9 , 10 , 12 – 18 , 20 – 24 ]. Followed by chest and back pain in 5/21, which was related to radiculopathy [ 5 , 12 , 15 , 22 , 25 ]. Spinal cord-related symptoms were observed in 4/21 patients, presenting as limb paresthesia, limb weakness, and ataxia [ 8 , 11 , 13 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Among the 21 patients, intrathoracic meningocele was observed on the left side in 9 cases and on the right side in 11 cases. Additionally, one patient presented with bilateral intrathoracic meningocele [ 20 ], while 5/21 patients had multiple intrathoracic meningoceles [ 9 , 14 , 20 , 22 , 25 ]. In 17/21 patients, the size of the intrathoracic meningeal cyst was greater than 10 cm, while in 4/21 patients, the size ranged between 5 and 10 cm [ 8 , 17 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Among the 13 patients who underwent meningectomy repair for the bulge, 8 had thoracotomy [ 5 , 9 , 10 , 16 – 18 , 22 , 25 ], 4 had meningectomy and repair following posterior laminectomy [ 8 , 13 , 23 , 24 ], and 1 had meningectomy and repair through thoracoscopic surgery [ 7 ]. Out of the 8 patients with thoracotomy, only 1 experienced postoperative paraplegia complications, which resolved spontaneously after a few months [ 25 ], with the remaining patients showing a good prognosis. Of the 4 patients who had posterior laminectomy, 2 experienced postoperative walking difficulties and chest tightness, requiring further surgery [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

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Neurofibromatosis type 1 with huge intrathoracic meningoceles misdiagnosed as pleural effusion: A case report and literature review

Chen,

Li,

Min

et al. 2024

J Cardiothorac Surg

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Background Neurofibromatosis type 1 is a genetic disease that affects multiple organs and systems, leading to various clinical manifestations. In Neurofibromatosis type 1, rare intrathoracic meningoceles often occur alongside bone dysplasia. These meningoceles contain cerebrospinal fluid and can be mistakenly diagnosed as ‘pleural effusion’. Case presentation In this case report, we mistakenly identified ‘cerebrospinal fluid’ as ‘pleural effusion’ and proceeded with drainage. This error posed significant risks to the patient and holds valuable implications for the future diagnosis and treatment of similar patients. Conclusions In patients with Neurofibromatosis type 1 complicated by spinal deformity, there is a high incidence of intrathoracic meningoceles. Treatment strategies may differ based on the specific features of the lesions, and collaboration among multiple disciplines can significantly improve patient outcomes.

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