Surgical management of an ossified giant lumbar pseudomeningocele: A case report
William Trent Richardson1, Lokeshwar Sai Santosh Bhenderu2, Jose M Soto2
1Department of Neurosurgery, Baylor Scott and White, Temple, Texas, United States.
Background:
Pseudomeningoceles (PMs) are infrequent complications of spine surgery resulting from incidental durotomy and subsequent extravasation of cerebrospinal fluid. Giant PMs (GPMs), defined as ≥8 cm in major diameter, are rarely reported in the literature and present a challenge due to a lack of clear guidelines for surgical management.
Case Description:
Here, the authors discuss the successful surgical management of a 25.3 cm lumbar GPM that became calcified 3 years following an initial T10-S2 laminectomy with instrumented fusion performed at an outside-hospital.
Conclusion:
This report focuses on the successful 3-year delayed surgical intervention for the management of an ossified GPM.
Insights
Giant pseudomeningoceles (GPMs) are rare, challenging spine surgery complications. This case details successful surgical management of a large, calcified GPM three years after initial spinal fusion.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Radiology
Background:
- Pseudomeningoceles (PMs) arise from incidental durotomy during spine surgery, leading to cerebrospinal fluid leakage.
- Giant pseudomeningoceles (GPMs), defined as ≥8 cm, are rare and pose significant management challenges due to limited established guidelines.
- Calcification within GPMs is exceptionally uncommon, further complicating surgical approaches.
