Symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele.

Autor: Pereira Filho Ade A; Hospital São José, Complexo Hospitalar Santa Casa de Porto Alegre, RS, Brazil. arthurpereirafilho@gmail.com, David Gd, Pereira Filho Gde A, Brasil AV
Jazyk: angličtina
Zdroj: Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2007 Jun; Vol. 65 (2A), pp. 279-82.
DOI: 10.1590/s0004-282x2007000200017
Abstrakt: 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.
Databáze: MEDLINE