Pseudomeningocele After Spine Surgery: 3 cases of different symptoms.
10.4184/jkss.2006.13.2.132
- Author:
Byoung Ki KWON
1
;
Dong Ki AHN
;
Ki Woong JEONG
;
Kwan Young PARK
Author Information
1. Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Korea. adkajs@hanmail.net
- Publication Type:Case Report
- Keywords:
pseudomeningocele;
spine surgery
- MeSH:
Cauda Equina;
Humans;
Leg;
Low Back Pain;
Sciatica;
Spine*;
Walking
- From:Journal of Korean Society of Spine Surgery
2006;13(2):132-137
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pseudomeningocele after spine surgery can cause various symptoms, but it can also be silent. We experienced 3 cases of pseudomeningocele with different symptoms and we analyzed the characteristics of each case. A small pseudomeningocele without connection to the subarachnoidal space can show no symptoms. A pseudomeningocele with a small dural tear and it's abutted on the duramater at a small portion can produce sciatica and limitations of straight leg raising due to adhesion of the cauda equina around the dural tear. In addition, a large pseudomeningocele with a big dural and lamina defect can produce back tenderness furthermore, a patient with such a lesion can have low back pain and leg pain that are aggravated by an increment of abdominal pressure or by impact to the body and even by walking. Pseudomeningocele should be suspected when symptoms recur after spine surgery and especially in the case of dural tear during an operation
