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Spontaneous resolution of lumbar pseudomeningocele
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KUMAR AJS; NAMBIAR CS; KANSE P
SPINAL CORD , 2003, vol. 41, n° 8, p. 470-472 Doc n°: 110116 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : AJ22 - SPINA BIFIDA, CE61 - TRAITEMENT CHIRURGICAL - RACHIS LOMBAIRE ET CHARNIERE LOMBOSACREE Url : http://www.nature.com/sc/archive/index.html OBJECTIVES: To suggest the role of nonoperative treatment even in symptomatic pseudomeningocoeles. SETTING: Withybush General Hospital, Haverfordwest, Pembrokeshire, South Wales, UK. CASE REPORT: A 65-year-old lady underwent L4/L5 discectomy for lumbar disc prolapse in 1998. As the patient did not have relief of symptoms, an MRI was taken at 1 month following the operation, which showed a residual disc at L4/L5 and a pseudomeningocoele communicating with the subarachnoid space. The patient could not undergo further treatment because of the untimely demise of the surgeon. Over the next 3 months, the symptoms began to improve and the patient was totally asymptomatic and remained so for 3 years. In 2001, she was seen for a recurring leg pain and back pain and an MRI was done, which showed complete disappearance of the pseudomeningocoele but with recurrent disc lesion. CONCLUSION: Although the current medical literature favours re-exploration and repair of the dural defect in symptomatic pseudomeningocoele, the authors are of the opinion that conservative treatment may have a role in the treatment of the above condition as illustrated by the above example. Langue : ANGLAIS Identifiant basis : 2003228217 |
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