A case with cauda equina syndrome due to bacterial meningitis of anterior sacral meningocele

Spine
Serpil BalAlev Gürgan

Abstract

A case of a patient with anterior sacral meningocele that was misdiagnosed as perianal abscess is presented. After the transrectal aspiration, the patient developed meningitis and cauda equina syndrome. To report a rare case of anterior sacral meningocele in which primary presentation was mimicking perianal abscess. Anterior sacral meningocele is a rare example of spinal dysraphism. It is created by a herniation of a dural sac through a defect in the sacral wall. It is usually asymptomatic until later decades. Most of the presenting symptoms are related to the pelvic organs. In the management of anterior sacral meningocele, surgical treatment is necessary. The reported case is that of a 35-year-old female with cauda equina syndrome due to bacterial meningitis of the anterior sacral meningocele. At the beginning, she presented signs and symptoms resembling perianal abscess. She was misdiagnosed as anorectal abscess according to the computed tomography findings. The patient then underwent transrectal aspiration. Following the aspiration, meningitis and cauda equina syndrome were developed. Meningitis was treated with the appropriate antibiotics, and the patient underwent rehabilitation for paraplegia and bladder and bowel inconti...Continue Reading

References

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Citations

Feb 23, 2007·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·J GhoshA J M Watson
Jan 25, 2006·Journal of Minimally Invasive Gynecology·Vincent Y T Cheung, David M Rosenthal
Apr 11, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Hanne-Rinck JeltemaRob J M Groen
Sep 19, 2019·Surgical Neurology International·Michael J BenkoBrian F Saway

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