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Updated: Jun 5, 2025

Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Isolated Large Lateral Thoracic Meningocele.

Sandisile M Ndlovu¹, Bindu Gaur², Arun Sureshkumar³

¹Emergency Medicine, The Royal Wolverhampton NHS Trust, Wolverhampton, GBR.

|December 6, 2024

Summary

Intrathoracic meningocele, a rare condition involving cerebrospinal fluid protrusion into the chest, can occur without genetic links like neurofibromatosis type 1. This case highlights diagnostic challenges and MRI

Keywords:

conservative management differential diagnoses elderly patient intrathoracic meningocele isolated true meningocele misdiagnosis mri pleural effusion misdiagnosis spinal dural defects thoracic meningocele

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Area of Science:

Neurology
Radiology
Thoracic Surgery

Background:

Intrathoracic meningocele is a rare condition involving protrusion of dura mater and cerebrospinal fluid into the thoracic cavity.
It is often associated with neurofibromatosis type 1 (NF1) and connective tissue disorders, but can occur in isolation.

Observation:

A 78-year-old woman presented with back pain, shortness of breath, and lower limb weakness.
Initial computed tomography (CT) scan suggested pleural effusion, leading to plans for fluid drainage.
Magnetic resonance imaging (MRI) ultimately revealed a large right-sided lateral thoracic meningocele.

Findings:

This case describes a large thoracic meningocele in an adult without NF1 or other predisposing genetic conditions.
The misdiagnosis of thoracic meningoceles can lead to diagnostic challenges and potential complications.
Magnetic resonance imaging (MRI) is confirmed as the gold standard for diagnosing thoracic meningoceles.

Implications:

Accurate and timely diagnosis of thoracic meningocele is crucial to prevent complications.
MRI is essential for definitive diagnosis, distinguishing meningoceles from other thoracic pathologies like pleural effusions.
This case underscores the importance of considering rare diagnoses even in the absence of typical associated conditions.