Case Report
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Orthop. Jul 18, 2012; 3(7): 109-113
Published online Jul 18, 2012. doi: 10.5312/wjo.v3.i7.109
Giant pseudomeningocele after spinal surgery: A case report
Prepram Srilomsak, Kazuma Okuno, Toshihiko Sakakibara, Zhuo Wang, Yuichi Kasai
Prepram Srilomsak, Toshihiko Sakakibara, Zhuo Wang, Yuichi Kasai, Department of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, Mie 514-8507, Japan
Prepram Srilomsak, Department of Orthopaedics, Khon Kaen University, Khon Kaen 40002, Thailand
Kazuma Okuno, Department of Orthopaedic Surgery, Ise Red Cross Hospital, Mie 516-8512, Japan
Author contributions: Srilomsak P and Wang Z drafted the manuscript, did the first selection of articles and assessed the quality of the papers; Okuno K, Sakakibara T and Kasai Y did this patient’s care, including two surgeries, assessed the quality of the papers and then revised the manuscript critically for its content; all authors read and approved the final manuscript.
Correspondence to: Yuichi Kasai, MD, Department of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu city, Mie 514-8507, Japan. ykasai@clin.medic.mie-u.ac.jp
Telephone: +81-59-231-6024 Fax: +81-59-231-6032
Received: May 30, 2012
Revised: June 26, 2012
Accepted: July 10, 2012
Published online: July 18, 2012
Abstract

Very few reports have described giant pseudomeningoceles ≥ 8 cm in diameter. We report this case of the biggest giant pseudomeningocele at the unusual cervicothoracic level. A 59 year old man who underwent cervicothoracic laminectomy had a giant pseudomeningocele detected and the lesion gradually grew to about 15 cm in diameter by 2 years postoperatively. Cerebrospinal fluid leak closure was performed and the postoperative course was favorable. We present this case, review the literature and discuss the size and portion, mechanism of formation, symptoms and treatments of giant pseudomeningocele.

Keywords: Pseudomeningocele; Spinal surgery; Dura tear; Cerebrospinal fluid; Complication