Delayed pseudomyelomeningocele: a rare complication after foramen magnum decompression for Chiari malformation

Surgical Neurology
Deniz BelenKazim Yigitkanli

Abstract

A variety of complications after FMD with or without duraplasty for Chiari malformation have been described. Although cerebellar ptosis through the dural opening and pseudomeningocele are well-known rare complications of this procedure, spinal cord herniation manifesting as pseudomyelomeningocele formation has not previously been cited in the literature. In this report, we present a case of delayed pseudomyleomeningocele after FMD. A 22-year-old man presented with progressive spinal cord compression symptoms 7 years after undergoing FMD for Chiari malformation. Craniocervical MRI of the patient revealed pseudomyelomeningocele at C1 level together with cord distortion. The patient underwent untethering surgery for spinal cord adhesions; neural tissue was freed microsurgically from the adjacent structures and duraplasty was performed with synthetic graft. In the early postoperative period, his symptoms resolved moderately. Neural tissue shift including the spinal cord through the dural opening may occur after a large posterior fossa decompression without duraplasty for Chiari malformation. Postoperative inadequate CSF circulation due to arachnoid scarring around the decompression area may facilitate this type condition. Early dia...Continue Reading

References

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Citations

Feb 6, 2016·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·Siddharth N AiyerS Rajasekaran
Sep 27, 2015·Neurosurgery Clinics of North America·Isaac Jonathan PomeraniecJohn A Jane
Dec 17, 2014·The Spine Journal : Official Journal of the North American Spine Society·Sami M Abd Elwahab, Michael J O'Sullivan

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