巨大症状性脑脊膜膨出作为脂肪脊膜脊髓膨出的延迟性成人并发症。
Giant Symptomatic Meningocele as a Delayed, Adult Complication of Lipomyelomeningocele.
机构信息
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
出版信息
World Neurosurg. 2020 Feb;134:532-535. doi: 10.1016/j.wneu.2019.11.086. Epub 2019 Nov 21.
BACKGROUND
An expanding cohort of patients with spina bifida live well into adulthood and pose complex management challenges due to unique combinations of adult health issues overlying congenital problems.
CASE DESCRIPTION
We present a case of a 45-year-old woman with an expanding, disfiguring, painful lumbar meningocele more than 40 years after her only surgery as a 3-year-old child. A team of pediatric and adult neurosurgeons as well as plastic/reconstructive surgeons successfully performed surgery to obliterate the meningocele, with preservation of her baseline functional status, and no evidence of recurrence after more than 1 year of follow-up.
CONCLUSIONS
Symptomatic meningocele may present in a long-delayed fashion in adult patients with a history of spina bifida. Surgical treatment may provide symptomatic benefit.
背景
越来越多的脊柱裂患者成年后仍能健康生活，但由于成人健康问题与先天问题的独特组合，他们面临着复杂的管理挑战。
病例描述
我们报告了一例 45 岁女性病例，她在 3 岁时接受了唯一一次手术，40 多年后，她出现了不断增大、畸形、疼痛的腰骶部脑膜膨出。一支由儿科和成人神经外科医生以及整形/重建外科医生组成的团队成功地进行了手术，以消除脑膜膨出，同时保留了她的基本功能状态，并且在超过 1 年的随访中没有复发的迹象。
结论
有脊柱裂病史的成年患者可能会出现迟发性症状性脑膜膨出。手术治疗可能会带来症状改善。
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