Symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele.
We report the first case of symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele. A 49-year-old man sought treatment for progressive loss of strength in the lower extremities ten months after full neurological recovery for a thoracic (T11) intradural-extramedullary schwannoma. Magnetic resonance imaging revealed a postsurgical thoracic (T11-T12) pseudomeningocele. The surgical approach showed an inadequate dural closure with spontaneous cerebrospinal fluid fistula. The defect was sealed with suture, muscle and biological glue covering. The patient had a good recovery. Pseudomeningocele must take part of the differential diagnosis of myelopathy after thoracic spine surgery.
Pereira Filho
Arthur de Azambuja
Ade A
Hospital São José, Complexo Hospitalar Santa Casa de Porto Alegre, RS, Brazil. arthurpereirafilho@gmail.com
David
Gustavo de
Gd
Pereira Filho
Gustavo de Azambuja
Gde A
Brasil
Albert Vincent Berthier
AV
D003937:Diagnosis, Differential; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008588:Meningocele / Q000175:diagnosis / Q000209:etiology*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D012086:Reoperation; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000601:surgery