-
World Neurosurgery Sep 2019Spinal meningocele is the herniation of dura mater and cerebrospinal fluid through a spinal defect, be it congenital, iatrogenic, or traumatic. Intrathoracic...
BACKGROUND
Spinal meningocele is the herniation of dura mater and cerebrospinal fluid through a spinal defect, be it congenital, iatrogenic, or traumatic. Intrathoracic meningoceles are rare and are most commonly associated with neurofibromatosis. When indicated, surgical management of symptomatic thoracic meningocele is aimed at decreasing the size of the meningocele, which can be accomplished by a variety of procedures.
CASE DESCRIPTION
A 59-year-old woman with neurofibromatosis type 1 and a known thoracic meningocele was initially managed conservatively. However, she developed syringomyelia and subsequently became symptomatic from the syrinx. She was ultimately treated successfully with ventriculoperitoneal shunt. Shunting resulted in complete resolution of the syrinx, while the thoracic meningocele remained stable in size.
CONCLUSIONS
Ventriculoperitoneal shunt can be used to successfully treat a symptomatic syrinx in a patient with an asymptomatic thoracic meningocele. Alterations in normal cerebrospinal fluid flow dynamics from the thoracic meningocele likely contributed to the development of syringomyelia in this patient.
Topics: Cervical Vertebrae; Female; Humans; Meningocele; Middle Aged; Neurofibromatosis 1; Syringomyelia; Thoracic Vertebrae; Ventriculoperitoneal Shunt
PubMed: 31152885
DOI: 10.1016/j.wneu.2019.05.204 -
Journal of Neurosurgery Nov 1967
Topics: Cerebral Ventricles; Cerebral Ventriculography; Child, Preschool; Female; Humans; Infant; Infant, Newborn; Male; Meningocele; Temporal Lobe
PubMed: 5299332
DOI: 10.3171/jns.1967.27.5.0433 -
Archives of Disease in Childhood Aug 1971
Topics: Female; Humans; Infant, Newborn; Meningocele
PubMed: 5565468
DOI: 10.1136/adc.46.248.549 -
Acta Chirurgica Belgica 1993Anterior sacral meningocele is a not rare entity. Treatment is usually surgical and consists in a transacral posterior approach with patching of the communication... (Review)
Review
Anterior sacral meningocele is a not rare entity. Treatment is usually surgical and consists in a transacral posterior approach with patching of the communication between the malformation and the dural sac. But surgery can be difficult and require multiple procedures. We report the first case of a giant anterior sacral meeningocele rapidly cured by a simple endoscopic procedure. We believe that more attention should be used in the diagnosis of such cases as they can be so easily cured. We have reviewed the literature about anterior sacral meningocele and particularly its treatment and its association either with Marfan syndrome or a familial occurrence.
Topics: Adult; Diagnostic Imaging; Female; Humans; Marfan Syndrome; Meningocele; Sacrococcygeal Region
PubMed: 8470436
DOI: No ID Found -
Surgical Neurology Oct 1986A case of intrathoracic meningocele is reported, and 95 cases from the literature are reviewed. Thoracic meningoceles are usually associated with neurofibromatosis;...
A case of intrathoracic meningocele is reported, and 95 cases from the literature are reviewed. Thoracic meningoceles are usually associated with neurofibromatosis; nevertheless their etiology remains controversial. The authors postulate the role of spinal trauma in some patients and the origin of the meningocele from an abnormal prolongation of a nerve sleeve in nontraumatic cases. Thoracic meningoceles often are asymptomatic or produce radicular intercostal pain. Spinal computed tomography is the most useful investigation, particularly in the exploration of large meningoceles. Surgery is required in symptomatic cases and usually results in remission of the pain.
Topics: Accidents, Traffic; Female; Humans; Meningocele; Middle Aged; Neurofibromatosis 1; Thoracic Vertebrae; Time Factors; Tomography, X-Ray Computed
PubMed: 3092383
DOI: 10.1016/0090-3019(86)90147-3 -
American Journal of Otolaryngology 2006Intrasphenoidal meningoencephalocele is a rare clinical entity. Its origin can be congenital, traumatic, tumoral, or spontaneous. Presenting as cerebrospinal fluid... (Review)
Review
Intrasphenoidal meningoencephalocele is a rare clinical entity. Its origin can be congenital, traumatic, tumoral, or spontaneous. Presenting as cerebrospinal fluid fistula with rhinorrhea, the diagnosis and treatment of this uncommon disease is a real challenge for the otorhinolaryngologist. We report a case of sphenoidal meningocele treated using an endoscopic procedure and review the literature regarding its congenital origin.
Topics: Aged; Cerebrospinal Fluid Rhinorrhea; Endoscopy; Fatal Outcome; Female; Humans; Magnetic Resonance Imaging; Meningocele; Sphenoid Sinus; Tomography, X-Ray Computed
PubMed: 17084229
DOI: 10.1016/j.amjoto.2006.01.011 -
Journal of Neurosurgery. Pediatrics Mar 2021Trigeminal meningocele is a rare disease that results in rhinorrhea. Treatments with endoscopic approaches and open craniotomies have high recurrence rates, and...
Trigeminal meningocele is a rare disease that results in rhinorrhea. Treatments with endoscopic approaches and open craniotomies have high recurrence rates, and controversy regarding the most effective surgical strategy for trigeminal meningocele is ongoing. The authors report a case of a 13-year-old female patient with a diagnosis of trigeminal meningocele determined after she presented with a history of intermittent headaches, suspected rhinorrhea, and recurrent meningitis. In addition to the conventional method of covering the efflux point of CSF and filling the inside of the meningocele with fascial tissues, the authors selectively closed the influx point of CSF from the prepontine cistern to the meningocele using an anterior transpetrosal approach. On the basis of the preoperative images, the authors hypothesized that the influx point of CSF could not be observed under the microscopic direct view and instead used a flexible endoscope. A check valve-like structure with one-way communication of CSF from the prepontine cistern into the cystic cavity was identified and was closed. At the time of this report, 36 months postoperatively, the patient had no indications of recurrence. Although cases of trigeminal meningoceles are infrequently encountered and require a tailored approach, the results in this case thus far indicate that the use of an endoscope and open craniotomy is an effective strategy for surgical treatment.
Topics: Adolescent; Cerebrospinal Fluid Rhinorrhea; Craniotomy; Female; Humans; Meningocele; Microsurgery; Neuroendoscopy
PubMed: 33711806
DOI: 10.3171/2020.9.PEDS20259 -
European Annals of Otorhinolaryngology,... Nov 2022
Topics: Child; Humans; Ear Canal; Ear, Inner; Meningocele; Tomography, X-Ray Computed
PubMed: 35534360
DOI: 10.1016/j.anorl.2022.03.006 -
The Medical Journal of Malaysia Sep 1989Anterior sacral meningocele is a rare congenital meningeal cyst herniating through a bony defect in the sacrum. Since its description by Bryant in 1837, only 154 cases...
Anterior sacral meningocele is a rare congenital meningeal cyst herniating through a bony defect in the sacrum. Since its description by Bryant in 1837, only 154 cases have been reported in the world literature. The application of ultrasound and C.T. scan following myelography is discussed.
Topics: Back Pain; Female; Humans; Male; Meningocele; Myelography; Sacrum; Tomography, X-Ray Computed; Ultrasonography
PubMed: 2533960
DOI: No ID Found -
Clinical Pediatrics Jul 1982Although lateral meningoceles have been described in the thorax, they have not been previously reported in the neck. We describe an infant who was born with a lateral...
Although lateral meningoceles have been described in the thorax, they have not been previously reported in the neck. We describe an infant who was born with a lateral meningocele in the cervical posterior triangle that was felt clinically to be cystic hygroma. Surgical excision was complicated by a cerebral spinal fluid fistula and subsequent meningitis. Problems that this patient presented and potential complications in management are discussed. Although the clinical manifestations of lateral meningoceles and extradural cysts are quite different, there are many anatomic similarities between these entities and other cervical masses that confuse diagnosis and nosology. Their differential diagnosis is reviewed.
Topics: Cervical Vertebrae; Diagnosis, Differential; Female; Fistula; Humans; Infant, Newborn; Lymphangioma; Meningitis; Meningocele; Radionuclide Imaging; Spinal Canal; Spinal Cord Neoplasms; Staphylococcal Infections
PubMed: 7083714
DOI: 10.1177/000992288202100709