Sacral fracture with pseudomeningocele and cerebrospinal fluid fistula: case report and review of the literature.
A patient who sustained an isolated transverse sacral fracture is presented. A large ventral sacral pseudomeningocele with cerebrospinal fluid (CSF) fistula developed. Eighteen previous cases of traumatic pseudomeningocele have been documented. A review of those cases leads these authors to conclude that: transverse sacral fractures are rare and have not been reported in association with a pseudomeningocele formation; at the 4th sacral vertebra, this is the lowest reported pseudomeningocele; and CSF fistula with sacral fracture is distinctly uncommon, reported in only one previous case. The presenting symptoms, diagnostic evaluation, treatment, and prognosis are discussed.
D000328:Adult; D005402:Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008588:Meningocele / Q000000981:diagnostic imaging / Q000601:surgery*; D009192:Myelography; D012447:Sacrum / Q000000981:diagnostic imaging / Q000293:injuries*; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed