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Double meningocele. Case report

R Durmaz1, A Arslantaş, Y H Ozön

  • 1Department of Neurosurgery, Osmangazi University Faculty of Medicine, Eskişehir, Turkey.

Insights

This report details a rare case of double spinal meningoceles in an infant. The condition, affecting thoracic and lumbar regions, involved neurological complications.

Area of Science:

  • Neurology
  • Pediatric Surgery
  • Radiology

Background:

  • Spinal meningoceles are rare congenital herniations of the meninges.
  • The coexistence of multiple meningoceles is exceptionally uncommon.
  • Idiopathic meningoceles are often associated with neurofibromatosis or other congenital anomalies.

Observation:

  • A three-day-old neonate presented with two distinct meningoceles.
  • Lesions were identified at both thoracic and lumbar spinal levels.
  • Magnetic resonance imaging revealed a connection between the thoracic meningocele stalk and the spinal cord.

Findings:

  • The case represents double spinal meningoceles, a highly unusual occurrence.
  • Neurological involvement was evident due to the thoracic meningocele's connection to the spinal cord.
  • This is the third reported case of double meningoceles without associated congenital anomalies or neurofibromatosis.

Implications:

  • This case expands the understanding of rare spinal malformations.
  • Highlights the importance of advanced imaging in diagnosing complex pediatric spinal conditions.
  • Contributes to the limited literature on isolated double meningoceles, aiding future clinical management and research.

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