Pseudomeningocele after lumbar discectomy treated with fibrin glue and epidural blood patch: A case report.

Korean J Anesthesiol

Department of Anesthesiology and Pain Medicine, East-West Neo Medical Center, College of Medicine, Kyung Hee University, Seoul, Korea.

Published: December 2009

AI Article Synopsis

  • Pseudomeningocele is an uncommon complication that can occur after lumbar discectomy, often presenting as a fluid-filled sac surrounding the spinal cord.
  • While many cases are asymptomatic, they can lead to issues like headaches, infections, and back or radiating pain.
  • The report describes a successful case where pseudomeningocele was treated using an epidural blood patch combined with fibrin glue, after initial conservative management and a blood patch alone failed.

Article Abstract

Pseudomeningocele is rare complication after lumbar discectomy. Most pseudomeningoceles are asymptomatic, but sometimes can cause headaches, infection, back pain, and radicular pain. Treatment modalities include conservative management, epidural blood patch, lumbar subarachnoid drainage, and surgery. We report a successful treatment of pseudomeningocele with epidural blood and fibrin glue patch, which did not treated with conservative management and epidural blood patch alone.

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Source
http://dx.doi.org/10.4097/kjae.2009.57.6.789DOI Listing

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