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Published on: February 29, 2020
Post traumatic retropharyngeal pseudomeningocele
M Natale1, A Bocchetti, A Scuotto
1Department of Neurological Sciences--Neurosurgery, Second University of Naples, Naples, Italy. massimo.natale@unina2.it
Abstract:
The authors report a case of a 33-year-old man who presented, during recovery from coma due to severe head injury, dysphagia and respiratory failure. Magnetic resonance, retrograde radionuclide myelography and computerized tomographic myelography identified a pseudomeningocele in the retropharyngeal space due to a tear of the left C2 radicular sleeve. After failed medical management, the patient underwent lumbo peritoneal shunt. Magnetic resonance controls showed progressive collapse of the collection. After 3 months the patient was able to breathe spontaneously and to swallow. The authors describe pathogenesis, diagnostic strategy and principles of treatment of traumatic retropharyngeal pseudomeningoceles.
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