Retroperitoneal approach for lumbar lateral meningocele--case report.
A 29-year-old female with neurofibromatosis presented with a right lumbar lateral meningocele. Abdominal computed tomography (CT) showed a huge right retroperitoneal cyst expanding anterolaterally and displacing the right kidney. CT following myelography disclosed the cyst expanding through a wide defect of the right pedicles of the T-12 and L-1 vertebrae. The cyst was resected through a retroperitoneal approach with right flank oblique incision. Postoperatively, cerebrospinal fluid leakage occurred, which improved after lumboperitoneal shunt. Careful screening for lateral meningocele, including the lumbar region, should be undertaken in a patient with neurofibromatosis who presents with vertebral anomalies.
Miyata
M
M
Department of Neurosurgery, Takatsuki General Hospital, Osaka.
Yamasaki
S
S
Yoshida
T
T
Matsubara
M
M
Okamura
M
M
Hirayama
A
A
Tamaki
N
N
D000328:Adult; D005260:Female; D006801:Humans; D008161:Lumbosacral Region / Q000503:physiopathology*; D008588:Meningocele / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology*; D017253:Neurofibromatoses / Q000150:complications; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000503:physiopathology; D014057:Tomography, X-Ray Computed