A Giant Lumbar Pseudomeningocele in a Patient with Neurofibromatosis Type 1: A Case Report
Joint Authors
Nasi, Davide
Iacoangeli, Maurizio
Ruscelli, Paolo
Della Costanza, Martina
Dobran, Mauro
Scerrati, Massimo
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
This is a rare case of giant lumbar pseudomeningocele with intra-abdominal extension in patient with neurofibromatosis type 1 (NF1).
The patient’s clinical course is retrospectively reviewed.
A 34-year-old female affected by NF1 was referred to our institution for persistent low back pain and MRI diagnosis of pseudomeningocele located at L3 level with paravertebral extension.
From the first surgical procedure by a posterior approach until the relapse of the pseudomeningocele documented by MRI, the patient underwent two subsequent posterior surgical procedures to repair the dural sac defect with fat graft and fibrin glue.
One month after the third operation, the abdominal MRI showed a giant intra-abdominal pseudomeningocele causing compression of visceral structures.
The patient was asymptomatic.
The pseudomeningocele was treated with an anterior abdominal approach and the use of the acellular dermal matrix (ADM) sutured directly on the dural defect on the anterolateral wall of the spinal canal.
After six months of follow-up the MRI showed no relapse of the pseudomeningocele.
Our case highlights the possible use of ADM as an effective and safe alternative to the traditional fat graft to repair challenging and large dural defects.
American Psychological Association (APA)
Dobran, Mauro& Iacoangeli, Maurizio& Ruscelli, Paolo& Della Costanza, Martina& Nasi, Davide& Scerrati, Massimo. 2017. A Giant Lumbar Pseudomeningocele in a Patient with Neurofibromatosis Type 1: A Case Report. Case Reports in Medicine،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1146741
Modern Language Association (MLA)
Dobran, Mauro…[et al.]. A Giant Lumbar Pseudomeningocele in a Patient with Neurofibromatosis Type 1: A Case Report. Case Reports in Medicine No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1146741
American Medical Association (AMA)
Dobran, Mauro& Iacoangeli, Maurizio& Ruscelli, Paolo& Della Costanza, Martina& Nasi, Davide& Scerrati, Massimo. A Giant Lumbar Pseudomeningocele in a Patient with Neurofibromatosis Type 1: A Case Report. Case Reports in Medicine. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1146741
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146741