Management Of Pseudomeningocele Research Articles

Management of Pseudomeningocele Following Posterior Fossa Tumor Surgery in Children: A Single-Institution Experience in Egypt

Management of Pseudomeningocele Following Posterior Fossa Tumor Surgery in Children: A Single-Institution Experience in Egypt

Pseudomeningocele-a rare complication following thoracic spinal decompression surgery: clinical features, treatment guidelines, technical notes, and evaluation of results.

Pseudomeningocele (PMC) is a rare complication following thoracic spinal decompression surgery. The aim of this study is to assess the clinical features and treatment of PMC and provide the technical notes with revision surgery. Between January 2010 and December 2019, patients who developed PMC after posterior thoracic surgery were enrolled. An additional 25 patients who suffered cerebrospinal fluid leakage (CSFL) but did not develop PMC in the same period were randomly selected. General data, intra-operative factors, CSFL position, cost, modified Japanese Orthopaedic Association (mJOA) scores, patient satisfaction, and clinical features were recorded and compared between the two groups. Eighteen patients were diagnosed with PMC after thoracic spinal surgery. The average length, width, and depth were 16.25 ± 5.73cm, 6.96 ± 3.61cm and 4.39 ± 2.2cm, respectively. The most common symptom was neurological deficits following incision problems and headache. Compared with the control group, the PMC group showed a longer duration of initial surgery, greater estimated blood loss, an increased rate of CSFL on the ventral side, reduced mJOA scores, and lower patient satisfaction at the final follow-up. PMC is a rare complication of thoracic surgery with an incidence of 1.12%. PMC typically occurs at the upper and lower thoracic spine, resulting in increased health care costs, poorer neurological recovery, and a lower rate of patient satisfaction. The management of PMC should be individualized depending on diagnosis time and symptoms.

Management of pseudomeningocele following neurotologic procedures

Objectives A pseudomeningocele results from the escape of cerebrospinal fluid through a dural defect with trapping of subarachnoid fluid in surrounding soft tissue. The present study evaluates the incidence of pseudomeningocele following neurotologic procedures and delineates an algorithm for management. Methods A retrospective review of 375 consecutive patients undergoing neurotologic procedures at a single institution identified 17 patients with the postoperative complication of pseudomeningocele. Results The incidence of pseudomeningocele formation was 4.5% in the present study. Fourteen pseudomeningoceles resolved with nonoperative management including pressure dressing, bed rest, and lumbar spinal drainage. Three patients failed nonoperative management and required surgical procedures for resolution. All patients ultimately had resolution of their pseudomeningocele. Conclusion Skull-base pseudomeningoceles occur as a complication following neurotologic procedures and can cause complications as they enlarge. The majority of these cases can be dealt with in a nonsurgical manner, but those failing to respond to conservative management should be considered for surgical intervention.

Management of pseudomeningocele following neuro-otologic procedures

Otolaryngology–Head and Neck SurgeryVolume 129, Issue 2 p. P137-P138 Tuesday, September 23, 2003, Room OCCC 109B Scientific Sessions: Otology/Neurotology 10:16 am Management of Pseudomeningocele Following Neuro-otologic Procedures Patrick J Antonelli MD, Patrick J Antonelli MDSearch for more papers by this authorColin LW Driscoll moderators MD PhD, Colin LW Driscoll moderators MD PhDSearch for more papers by this authorNeelesh H Mehendale presenter MD, Neelesh H Mehendale presenter MD Dallas, TXSearch for more papers by this authorPeter S Roland MD, Peter S Roland MD Dallas, TXSearch for more papers by this author Patrick J Antonelli MD, Patrick J Antonelli MDSearch for more papers by this authorColin LW Driscoll moderators MD PhD, Colin LW Driscoll moderators MD PhDSearch for more papers by this authorNeelesh H Mehendale presenter MD, Neelesh H Mehendale presenter MD Dallas, TXSearch for more papers by this authorPeter S Roland MD, Peter S Roland MD Dallas, TXSearch for more papers by this author First published: 17 May 2016 https://doi.org/10.1016/S0194-59980301126-4Read the full textAboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume129, Issue2August 2003Pages P137-P138 RelatedInformation