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Symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele
Pereira Filho, Arthur de Azambuja; David, Gustavo de; Pereira Filho, Gustavo de Azambuja; Brasil, Albert Vincent Berthier.
Affiliation
  • Pereira Filho, Arthur de Azambuja; Complexo Hospitalar Santa Casa. Hospital São José. Porto Alegre. BR
  • David, Gustavo de; Hospital Tacchini. Bento Gonçalves. BR
  • Pereira Filho, Gustavo de Azambuja; Complexo Hospitalar Santa Casa. Porto Alegre. BR
  • Brasil, Albert Vincent Berthier; CHSC. HSJ. Porto Alegre. BR
Arq. neuropsiquiatr ; Arq. neuropsiquiatr;65(2A): 279-282, jun. 2007. ilus
Article in En | LILACS | ID: lil-453926
Responsible library: BR1.1
ABSTRACT
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.
RESUMO
Relatamos o primeiro caso de compressão medular torácica sintomática causada por pseudomeningocele pós-operatória. Paciente masculino, 49 anos, apresentou perda progressiva de força nas extremidades inferiores dez meses após recuperação neurológica completa de cirurgia para remoção de schwannoma intradural-extramedular torácico. A ressonância magnética dorsal revelou pseudomeningocele (T11-T12). A abordagem cirúrgica mostrou fechamento dural inadequado com fistula liquórica espontânea. O defeito foi corrigido com sutura, músculo e cola biológica. O paciente teve boa evolução pós-operatória. Pseudomeningocele deve fazer parte do diagnóstico diferencial de mielopatia surgida após cirurgia na coluna dorsal.
Subject(s)
Full text: 1 Index: LILACS Main subject: Spinal Cord Compression / Neurosurgical Procedures / Fistula / Lumbar Vertebrae / Meningocele Type of study: Diagnostic_studies Limits: Humans / Male Language: En Journal: Arq. neuropsiquiatr Journal subject: NEUROLOGIA / PSIQUIATRIA Year: 2007 Type: Article
Full text: 1 Index: LILACS Main subject: Spinal Cord Compression / Neurosurgical Procedures / Fistula / Lumbar Vertebrae / Meningocele Type of study: Diagnostic_studies Limits: Humans / Male Language: En Journal: Arq. neuropsiquiatr Journal subject: NEUROLOGIA / PSIQUIATRIA Year: 2007 Type: Article