医源性腰椎巨大假性脑脊膜膨出：两例报告
Iatrogenic lumbar giant pseudomeningocele: A report of two cases.
作者信息
Rahimizadeh Abolfazl, Mohsenikabir Nima, Asgari Naser
机构信息
Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Surg Neurol Int. 2019 Nov 1;10:213. doi: 10.25259/SNI_478_2019. eCollection 2019.
BACKGROUND
Iatrogenic lumbar pseudomeningoceles are an uncommon complication of lumbar spinal surgeries. This pathology is an extradural, encapsulated, and cerebrospinal fluid collection which develops as a consequence of an inadvertent, unrepaired dural tear. If a pseudomeningocele grows beyond 8 cm in length, it may be classified as "giant."
CASE DESCRIPTION
Two adult females with giant pseudomeningoceles due to remote lumbar laminectomy were presented. Both patients were surgically managed.
CONCLUSION
Iatrogenic lumbar giant pseudomeningocele is rare. Notably, their surgical management is similar to that utilized to treat routine pseudomeningoceles.
背景
医源性腰椎假性脑脊膜膨出是腰椎手术中一种罕见的并发症。这种病变是一种硬膜外、有包膜的脑脊液聚集，是由于无意中未修复的硬脑膜撕裂所致。如果假性脑脊膜膨出长度超过8厘米，则可归类为“巨大型”。
病例描述
介绍了两名因既往腰椎椎板切除术导致巨大假性脑脊膜膨出的成年女性。两名患者均接受了手术治疗。
结论
医源性腰椎巨大假性脑脊膜膨出很少见。值得注意的是，其手术治疗方法与治疗常规假性脑脊膜膨出的方法相似。
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