title: Neurological recovery after surgical treatment of giant cervical pseudomeningoceles extending to lumbar spine associated with previous brachial plexus injury.
abstract: The authors describe a case of 28-year-old man who presented with cervical myelopathy and lumbar radiculopathy due to the giant cervical pseudomeningocele extending to the lumbar spine at 10 years after previous brachial plexus injury. To evaluate the communicating tract between pseudomeningocele and subarachnoidal space, the multidetector-row helical CT with simultaneous myelography was performed preoperatively. The surgical treatment in the cervical spine included the resection of pseudomeningocele and the repair of dural defects communicating into the cyst following multi-level laminoplasty and foraminotomies. At 6 years after surgery, the significant neurologic recovery and complete obliteration of cysts in the whole spine area were maintained. This serves as the first report describing the significant neurologic recovery after the surgical treatment of giant cervical pseudomeningocele extending to the lumbar spine after previous brachial plexus injury.
authors.affiliation: Department of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan. y-kotani@med.hokudai.ac.jp
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Kotani
authors.forename: Kuniyoshi
authors.initials: K
authors.lastname: Abumi
authors.forename: Manabu
authors.initials: M
authors.lastname: Ito
authors.forename: Satoshi
authors.initials: S
authors.lastname: Terae
authors.forename: Yukiyoshi
authors.initials: Y
authors.lastname: Hisada
authors.forename: Akio
authors.initials: A
authors.lastname: Minami
mesh_terms: D000293:Adolescent; D020516:Brachial Plexus Neuropathies / Q000150:complications*; D004388:Dura Mater / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008588:Meningocele / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology*; D011859:Radiography; D013346:Subarachnoid Space / Q000000981:diagnostic imaging / Q000473:pathology*
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