Iatrogenic lumbar giant pseudomeningocele: A report of two cases

Surg Neurol Int. 2019 Nov 1:10:213. doi: 10.25259/SNI_478_2019. eCollection 2019.

Abstract

Background: Iatrogenic lumbar pseudomeningoceles are an uncommon complication of lumbar spinal surgeries. This pathology is an extradural, encapsulated, and cerebrospinal fluid collection which develops as a consequence of an inadvertent, unrepaired dural tear. If a pseudomeningocele grows beyond 8 cm in length, it may be classified as "giant."

Case description: Two adult females with giant pseudomeningoceles due to remote lumbar laminectomy were presented. Both patients were surgically managed.

Conclusion: Iatrogenic lumbar giant pseudomeningocele is rare. Notably, their surgical management is similar to that utilized to treat routine pseudomeningoceles.

Keywords: Complication; Dural tear; Giant pseudocyst; Iatrogenic pseudomeningocele; Incidental durotomy; Lumbar discectomy; Lumbar laminectomy.

Publication types

  • Case Reports