Entrapped spinal nerve roots in a pseudomeningocoele as a complication of previous spinal surgery.
Pseudomeningocele is a rare but well recognised complication of lumbar surgery (microdiscectomy and laminectomy). Most of the patients tolerate the presence of the cyst well, however some present with back pain and spinal claudication, presumably due to neural compression. We report a case who presented following three operations (microdiscectomy, laminectomy and excision of a pseudomeningocele) with symptoms of spinal claudication and bilateral radicular pain. The cause of her pain was evident only at operation and was due to herniation of nerve roots through the dural defect.
Pavlou
G
G
Department of Neurosurgery, Leeds General Infirmary, Leeds, UK. gpavs@yahoo.com
Bucur
S D
SD
van Hille
P T
PT
D002420:Cauda Equina / Q000293:injuries / Q000473:pathology / Q000503:physiopathology; D002555:Cerebrospinal Fluid / Q000502:physiology; D003560:Cysts / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D019299:Decompression, Surgical / Q000379:methods; D017586:Diskectomy / Q000009:adverse effects*; D004388:Dura Mater / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000473:pathology / Q000601:surgery; D007796:Laminectomy / Q000009:adverse effects*; D017116:Low Back Pain / Q000209:etiology / Q000503:physiopathology; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008588:Meningocele / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D011843:Radiculopathy / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D013126:Spinal Nerve Roots / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology; D000267:Tissue Adhesions / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D016896:Treatment Outcome