We present two cases of acute and delayed presentations of intraspinal pseudomeningoceles, which is a rare complication of spinal trauma or surgery. Our goal is to discuss the pathophysiology, clinical presentation, imaging findings, and treatment of this rare entity. This diagnosis should be considered in patients with unexplained neurologic symptoms in the setting of prior cervical spine injury or surgery.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.clinimag.2021.07.023 | DOI Listing |
Int J Surg Case Rep
July 2024
Department of Neurosurgery, University of New Mexico Hospitals, Albuquerque, NM, USA.
Introduction: Percutaneous endoscopic lumbar discectomy (PELD) is increasingly being utilized to treat patients with lumbar disc herniation. PELD is unique in that it uses a single working port endoscope with constant irrigation of the surgical field to visualize pathology. The current report is of a case of postoperative epidural irrigation fluid accumulation presenting as peripherally enhancing epidural lesions, masking an underlying re-herniation.
View Article and Find Full Text PDFSurg Neurol Int
April 2024
Department of Neurosurgery, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, India.
Background: Intradural extramedullary (IDEM) spinal cord tumors account for approximately two-thirds of benign intraspinal neoplasms. These are amenable to gross total excision but can have variable functional outcomes, which plays a key role in assessing their impact on a patient's quality of life. Understanding the functional outcomes associated with these tumors is crucial for healthcare professionals to devise appropriate treatment plans and provide comprehensive care.
View Article and Find Full Text PDFFront Surg
August 2023
Department of Neurosurgery, University of Tuebingen, Tübingen, Germany.
Objective: The pathophysiology of idiopathic spinal cord herniation remains unknown. However, several different factors have been postulated, such as congenital causes (ventral dura mater duplication, preexisting pseudomeningocele, or other congenital dural defects), inflammation, remote spinal trauma, or thoracic disc herniation. Herein, the diagnosis and surgical treatment of a patient with spinal cord herniation caused by an intraspinal bone spur is presented along with a relevant literature review.
View Article and Find Full Text PDFAsian J Neurosurg
December 2021
Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt Ltd., Coimbatore, Tamil Nadu, India.
Postsurgical pseudomeningoceles are extradural collections of cerebrospinal fluid (CSF) that results following an intraoperative dural breach. Although usually asymptomatic and self-subsiding, they may present with symptoms of postural headache, blurred vision, diplopia, photophobia, back pain, radiculopathy, and vomiting. Most of the cases recover with conservative measures such as bed rest, hydration, and pressure dressings.
View Article and Find Full Text PDFClin Imaging
November 2021
Department of Radiology, Baylor College of Medicine, One Baylor Plaza BCM 360, Houston, TX 77030, United States.
We present two cases of acute and delayed presentations of intraspinal pseudomeningoceles, which is a rare complication of spinal trauma or surgery. Our goal is to discuss the pathophysiology, clinical presentation, imaging findings, and treatment of this rare entity. This diagnosis should be considered in patients with unexplained neurologic symptoms in the setting of prior cervical spine injury or surgery.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!