Acute neurological deficit caused by thoracic pseudomeningocele after spinal surgery

Postoperative pseudomeningocele usually has a benign course. We report a rare presentation of postoperative acute neurological deficit caused by compressive thoracic pseudomeningocele. This patient had posterior spinal fusion and decompression surgery for thoracic ossification of posterior longitudi...

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Bibliographic Details
Main Authors: Choong Hoon Foo, Beatrix Yung Siang Hii, Chung Chek Wong, Khin Maung Ohn
Format: Article
Language:English
English
Published: BMJ Publishing Group 2021
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/30887/1/Acute%20neurological%20deficit%20caused%20by%20thoracic%20pseudomeningocele%20after%20spinal%20surgery-ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/30887/2/Acute%20neurological%20deficit%20caused%20by%20thoracic%20pseudomeningocele%20after%20spinal%20surgery.pdf
https://eprints.ums.edu.my/id/eprint/30887/
https://casereports.bmj.com/content/bmjcr/14/7/e243788.full.pdf?casa_token=YAX_a5xDK6kAAAAA:tDf0EzeCo9-0ak0R_etydE1J8QwISaAesKRYxotLHC3kuInHB-tMOr8j32zhpwbGGGdXlnyniLnc
http://doi.org/10.1136/bcr-2021- 243788
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Institution: Universiti Malaysia Sabah
Language: English
English
Description
Summary:Postoperative pseudomeningocele usually has a benign course. We report a rare presentation of postoperative acute neurological deficit caused by compressive thoracic pseudomeningocele. This patient had posterior spinal fusion and decompression surgery for thoracic ossification of posterior longitudinal ligament and ligamentum flavum. Intraoperative incidental durotomy was covered with hydrogel dural sealant. She developed acute neurological deterioration 1 week after index surgery. Emergency decompression surgery was performed. One year after the surgery, she showed good neurological recovery.