Giant intrasacral meningocele: a case report
Melih Bozkurt1, Gokmen Kahilogullari, Umit Eroglu
1Department of Neurosurgery, School of Medicine, Ankara University, Ankara, 06100, Turkey.
Summary
This study reports a rare intrasacral meningocele case, highlighting cerebrospinal fluid (CSF) flow analysis via MRI. Demonstrating CSF flow can predict meningocele growth and guide surgical intervention.
Area of Science:
- Neurosurgery
- Radiology
- Medical Imaging
Background:
- Intrasacral meningoceles are rare congenital abnormalities.
- Spinal cord tethering can occur secondary to such lesions.
- Understanding cerebrospinal fluid (CSF) dynamics is crucial for managing these cases.
Observation:
- A peculiar case of intrasacral meningocele with spinal cord tethering is presented.
- The contents of the meningocele were analyzed.
- Cerebrospinal fluid (CSF) flow patterns were assessed using Magnetic Resonance (MR) imaging.
Findings:
- Demonstration of CSF flow from the thecal sac to the meningocele via CSF flow MR imaging.
- This imaging technique may help predict the potential for meningocele enlargement.
- Determination of CSF flow is proposed as a novel surgical indication.
Implications:
- CSF flow analysis using MRI provides valuable insights into meningocele behavior.
- Identifying CSF flow can aid in surgical decision-making for intrasacral meningoceles.
- This approach may improve patient outcomes by enabling timely surgical intervention.
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