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 |
Externí odkaz: |
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