Spontaneous Resolution of Postoperative Giant Frontal Pseudomeningocele

Duc Duy Tri Tran; Thi Phuong Hoai Dinh; Quoc Bao Nguyen; Dang Thi Mai; Van Tri Truong

doi:10.4103/ajns.AJNS_18_21

Spontaneous Resolution of Postoperative Giant Frontal Pseudomeningocele

Asian J Neurosurg. 2021 May 28;16(2):372-375. doi: 10.4103/ajns.AJNS_18_21. eCollection 2021 Apr-Jun.

Authors

Duc Duy Tri Tran^{1

2}, Thi Phuong Hoai Dinh¹, Quoc Bao Nguyen¹, Dang Thi Mai¹, Van Tri Truong^{1

3}

Affiliations

¹ Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
² Department of Neurosurgery, Xuyen A Hospital, Ho Chi Minh City, Vietnam.
³ Division of Orthopedics, Central Hospital of University of Montreal, University of Montreal, Montreal, Canada.

Abstract

Cranial pseudomeningoceles are abnormal extradural collections of cerebrospinal fluid. Postoperative giant cranial pseudomeningoceles have been rarely reported in the literature and have no specific treatment guidelines. The optimal management strategy for this condition differs among authors, varying from conservative approach to surgical intervention. A spontaneous resolution of postoperative giant frontal pseudomeningocele is reported. A 41-year-old female presented a pseudomeningocele 3 weeks after a right frontal meningioma surgical resection. The pseudomeningocele progressed during the first 1.5-month postoperatively despite percutaneous aspiration and compressive bandage, it then shrank spontaneously and was completely resolved at the 15^th month since the surgery. Nonoperative treatment with a close follow-up could be a good option for asymptomatic giant pseudomeningoceles, resulting in a spontaneous resolution.

Keywords: Conservative treatment; craniotomy; giant; pseudomeningocele; resolution.

Publication types

Case Reports