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Updated: Jan 30, 2026

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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Transcranial cerebellar herniation following craniotomy: Case report and literature review

Irene Panero Pérez1, Carla Eiriz Fernández1, Daniel García Pérez1

  • 1Department of Neurosurgery, 12 de Octubre University Hospital, Av. De Córdoba s/n, 28041 Madrid, Spain.

Neurocirugia (English Edition)
|January 26, 2019
PubMed

Insights

A rare complication called post-surgical encephalocele can occur after posterior fossa meningioma resection. This case highlights the importance of meticulous surgical closure to prevent cerebellar herniation through burr holes.

Area of Science:

  • Neurosurgery
  • Neurology
  • Radiology

Background:

  • Posterior fossa meningiomas are tumors requiring surgical resection.
  • Craniotomy with bone flap replacement is a standard surgical approach.
  • Post-surgical complications, though uncommon, require careful consideration.

Observation:

  • A 49-year-old female presented with symptoms of cephalea, vomiting, and imbalance 30 days post-craniotomy.
  • Brain MRI revealed a trans-cranial cerebellar herniation through the craniotomy burr holes.
  • The patient had previously undergone resection of a posterior fossa meningioma.

Findings:

  • Post-surgical encephalocele is an uncommon complication following posterior fossa lesion resection.
  • Cerebellar herniation occurred through the craniotomy burr holes.
  • The encephalocele was successfully repaired via urgent surgery.

Implications:

  • Thorough dural and bony closure is crucial, especially in posterior fossa surgeries.
  • High-risk patients may benefit from enhanced preventative measures.
  • Early recognition and surgical intervention are key for managing post-surgical encephalocele.
Keywords:
CraneoplastiaCraneotomíaCranioplastyCraniotomyEncefalocele posquirúrgicoEncefalocele postoperatorioHerniación transcranealPost-surgical encephalocelePostoperatively encephaloceleTrans-cranial herniation

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