Lee K S, Hardy I M
Division of Neurosurgery, East Carolina University School of Medicine, Greenville, North Carolina.
Neurosurgery. 1992 Jan;30(1):111-4. doi: 10.1227/00006123-199201000-00020.
Pseudomeningocele formation is unusual after a lumbar discectomy. Four patients who developed a pseudomeningocele after lumbar disc surgery are reported. The pseudomeningocele was symptomatic in three patients. The diagnosis of a pseudomeningocele was made by computed tomography in conjunction with myelography in three patients and magnetic resonance imaging in the fourth. All patients underwent surgery for the pseudomeningocele with primary closure of the dural defect (the patient whose meningocele was asymptomatic also had an excision of an extruded disc), and postoperative results were gratifying.
腰椎间盘切除术后形成假性脑脊膜膨出并不常见。本文报告了4例腰椎间盘手术后发生假性脑脊膜膨出的患者。3例患者的假性脑脊膜膨出有症状。3例患者通过计算机断层扫描结合脊髓造影诊断为假性脑脊膜膨出，第4例通过磁共振成像诊断。所有患者均接受了假性脑脊膜膨出手术，同时一期缝合硬脊膜缺损（脑脊膜膨出无症状的患者还切除了突出的椎间盘），术后效果良好。
