Symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele

被引:5
作者
de Azambuja Pereira Filho, Arthur
de David, Gustavo
机构
[1] Hosp Sao Jose, Porto Alegre, RS, Brazil
[2] Hosp Tacchini, Bento Goncalves, RS, Brazil
[3] Fdn Fac Fed Ciencias Med Porto Alegre, Porto Alegre, RS, Brazil
关键词
pseudomeningocele; spinal cord compression; myelopathy;
D O I
10.1590/S0004-282X2007000200017
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
We report the first case of symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele. A 49-year-old man sought treatment for progressive loss of strength in the lower extremities ten months after full neurological recovery for a thoracic (T11) intradural-extramedullary schwannoma. Magnetic resonance imaging revealed a postsurgical thoracic (T11-T12) pseudomeningocele. The surgical approach showed an inadequate dural closure with spontaneous cerebrospinal fluid fistula. The defect was sealed with suture, muscle and biological glue covering. The patient had a good recovery. Pseudomeningocele must take part of the differential diagnosis of myelopathy after thoracic spine surgery.
引用
收藏
页码:279 / 282
页数:4
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