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¿µ³²ÀÇ´ëÇмúÁö Vol.24_No.2 Suppl. P.S658-664, Dec. 2007
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Case Report
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Pseudomeningocele after Lumbar Discectomy |
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Sang Woo Kim, Soo Ho Cho
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Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea
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Ã¥ÀÓÀúÀÚ£º±è»ó¿ì, ´ë±¸±¤¿ª½Ã ³²±¸ ´ë¸íµ¿ 317-1, ¿µ³²´ëÇб³ Àǰú´ëÇÐ ½Å°æ¿Ü°úÇб³½Ç
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Tel: (053) 620-3790, Fax: (053) 620-3770
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E-mail: sw902@ynu.ac.kr
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December 30, 2007
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Abstract
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We report a case of postlaminectomy pseudomeningocele which treated successfully by surgical removal with fat graft. A 23-year-old man complained of low back pain and right leg pain and a soft mass in the back at the site of the incision. Four months earlier, he had undergone surgery for herniated nucleus pulposus on L4-L5 segment and three times revision surgery for CSF leakage. A magnetic resonance imaging(MRI) study revealed a large cystic formation in the low back which communicated with a laminectomy site. At surgery, the pseudomeningocele was exposed subcutaneously and explored inside without further laminectomy. A dural tear was identified just around the nerve root with some suture materials and there was persistent CSF leaks. The dura was closed with interrupted sutures. Then we performed sandwich-typed fat graft with glue. Postoperatively, his leg pain was relieved completely and the wound was healed satisfactory without palpable back mass.
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Key Words: Pseudomeningocele, Laminectomy, Dural tear, Sandwich fat graft.
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