Spinal pseudomeningocoele: a diagnostic dilemma.

STUDY DESIGN

Case report.

OBJECTIVE

To describe the difficulty in diagnosing spinal pseudomeningocoele.

SETTING

Department of Rehabilitation Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.

CASE REPORT

A case of progressive sacral swelling in a paraplegic man who sustained spinal cord injury 14 years ago is presented. Although his clinical features were suggestive of pseudomeningocoele, we were unable to confirm the diagnosis preoperatively.

CONCLUSION

Traumatic spinal pseudomeningocoele is very rare. Even with the available modern diagnostic imaging techniques, it is still difficult to diagnose a spinal pseudomeningocoele.