Cauda equina entrapment in a pseudomeningocele after lumbar schwannoma extirpation.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
D L Marinus OterdoomMaarten H Coppes

Abstract

Incidental or intentional durotomy causing cerebrospinal fluid (CSF) leakage, leading to the formation of a pseudomeningocele is a known complication in spinal surgery. Herniation of nerve roots into such a pseudomeningocele is very rare, but can occur up to years after initial durotomy and has been described to cause permanent neurologic deficit. However, cauda equina fiber herniation and entrapment into a pseudomeningocele has not been reported before. Here, we present a case of symptomatic transdural cauda equina herniation and incarceration into a pseudomeningocele, 3 months after extirpation of a lumbar Schwannoma. A 59-year-old man, who previously underwent intradural Schwannoma extirpation presented 3 months after surgery with back pain, sciatica and loss of bladder filling sensation caused by cauda equina fiber entrapment into a defect in the wall of a pseudomeningocele, diagnosed with magnetic resonance imaging. On re-operation, the pseudomeningocele was resected and the herniated and entrapped cauda fibers were released and replaced intradurally. The dura defect was closed and the patient recovered completely. In conclusion, CSF leakage can cause neurological deficit up to years after durotomy by transdural nerve root...Continue Reading

References

Jul 22, 1998·Spine·D O'ConnorW E Griffiths
Aug 13, 2004·Neurosurgical Focus·Daniel Couture, Charles L Branch
Sep 7, 2004·Neurosurgical Focus·Sanjay N MisraRoss Sedler
Jun 30, 2006·Yonsei Medical Journal·Seong YiHyun Chul Shin
Jul 25, 2006·Neurosurgical Focus·M W Hawk, K D Kim
Jul 2, 2008·Journal of Neurosurgery. Spine·Sam Safavi-AbbasiVolker K H Sonntag

❮ Previous
Next ❯

Citations

Nov 12, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Mohamed MackiAli Bydon
May 20, 2011·British Journal of Neurosurgery·M J AshaM Choksey
Aug 1, 2015·Global Spine Journal·Tomiya MatsumotoMotoki Iwasaki
Dec 23, 2017·Journal of Neurosurgery. Spine·Carlos M AlvarezSteven Vanni
Jun 26, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Chang-Hyun LeeTae-Ahn Jahng

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.