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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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[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
PubMed
Abstract

Insights

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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