Symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele Compressão medular torácica sintomática causada por pseudomeningocele pós-operatória

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 s...

Full description

Saved in:
Bibliographic Details
Published inArquivos de neuro-psiquiatria Vol. 65; no. 2A; pp. 279 - 282
Main Authors Arthur de Azambuja Pereira Filho, Gustavo de David, Gustavo de Azambuja Pereira Filho, Albert Vincent Berthier Brasil
Format Journal Article
LanguageEnglish
Published Academia Brasileira de Neurologia (ABNEURO) 01.06.2007
Subjects
compressão medular
mielopatia
myelopathy
pseudomeningocele
spinal cord compression
Online AccessGet full text

Cover

More Information
Summary: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.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.
ISSN:0004-282X
1678-4227
DOI:10.1590/S0004-282X2007000200017