The Korean Journal of Pain  2006;19(2):249-252

doi:10.3344/kjp.2006.19.2.249

Clinical Experience of Pain Management for Postlaminectomy Syndrome due to Pseudomeningocele: A case report.

Hye Ran CHO 1 ; Sang Ji HAN ; Sang Chul PARK ; Young Eun KWON ; Jun Hak LEE

Affiliations

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Keywords

postlaminectomy syndrome; pseudomeningocele; selective transforaminal epidural block

Country

Republic of Korea

Language

Korean

Abstract

Postlaminectomy syndrome is characterized by persistent low back pain and radiculopathy of the legs after surgery of the spine. Pseudomeningocele is an uncommon cause of postlaminectomy syndrome; it is characterized by an extradural collection of cerebrospinal fluid (CSF) without dural covering, resulting from unrecognized dural tears at the time of lumbar surgery. In most cases, surgery to repair a pseudomeningocele is recommended. However if surgical treatment does not yield symptomatic relief, then conservative treatment should be considered. We treated a patient with a pseudomeningocele after spine surgery in which selective transforaminal epidural block produced long-term relief of symptoms. Here we describe the management of this patient.