[Occult anterior sacral meningocele]
A Antuña-Ramos1, G García-Fructuoso, M Alamar-Abril
1Hospital Universitario Central de Asturias, Oviedo, Espana. aida_ar20@hotmail.com
Neurocirugia (Asturias, Spain)
|August 23, 2011
Summary
Anterior sacral meningocele, a rare spinal condition, can lead to bacterial meningitis. A posterior surgical approach effectively treated a pediatric case by repairing the dural defect.
Area of Science:
- Neurology
- Pediatric Surgery
- Spinal Dysraphism
Background:
- Anterior sacral meningocele is a rare spinal dysraphism in the presacral space.
- Typically asymptomatic, it presents as a small pelvic mass.
Observation:
- A 10-year-old male developed bacterial meningitis secondary to a pararectal abscess connected to an anterior sacral meningocele.
Findings:
- Successful treatment of bacterial meningitis and anterior sacral meningocele was achieved via a posterior surgical approach.
- The posterior approach facilitated repair of the dural defect and obliteration of the thecal sac-meningocele communication.
Implications:
- The posterior approach is a simple and effective surgical technique for anterior sacral meningocele.
- This method offers a lower risk of neurological injury compared to anterior approaches.
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