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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.

DOI:10.25259/SNI_478_2019
PMID:31768293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6826298/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/4049cdecd359/SNI-10-213-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/c6790a6743b7/SNI-10-213-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/ebc94b546fc9/SNI-10-213-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/c1cfbb3dccd1/SNI-10-213-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/38f55d0b0215/SNI-10-213-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/4049cdecd359/SNI-10-213-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/c6790a6743b7/SNI-10-213-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/ebc94b546fc9/SNI-10-213-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/c1cfbb3dccd1/SNI-10-213-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/38f55d0b0215/SNI-10-213-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed39/6826298/4049cdecd359/SNI-10-213-g005.jpg

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本文引用的文献

1
Giant lumbar pseudomeningocele after revision lumbar laminectomy: a case report and review of the literature.腰椎翻修术后巨大腰椎假性脑脊膜膨出：一例病例报告并文献复习
Spinal Cord Ser Cases. 2018 Sep 10;4:82. doi: 10.1038/s41394-018-0118-z. eCollection 2018.
2
Remote Cervical Pseudomeningocele Following Anterior Cervical Corpectomy and Fusion: Report of a Case and Review of the Literature.颈椎前路椎体次全切除融合术后的远隔部位颈椎假性脊膜膨出：1例报告及文献复习
Int J Spine Surg. 2016 Oct 17;10:36. doi: 10.14444/3036. eCollection 2016.
3
Post-surgical thoracic pseudomeningocele causing spinal cord compression.
术后胸假性脑脊膜膨出致脊髓压迫。
J Clin Neurosci. 2014 Mar;21(3):367-72. doi: 10.1016/j.jocn.2013.05.004. Epub 2013 Nov 5.
4
Spontaneous resolution of postoperative lumbar pseudomeningoceles: A report of four cases.术后腰椎假性脑脊膜膨出的自然消退：4例报告
Indian J Orthop. 2013 Jul;47(4):417-21. doi: 10.4103/0019-5413.114937.
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Ossified lumbar pseudomeningocele: imaging findings.骨化性腰椎假性脑脊膜膨出：影像学表现
Spine J. 2011 Aug;11(8):796-7. doi: 10.1016/j.spinee.2011.05.013. Epub 2011 Jul 2.
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Management of giant pseudomeningoceles after spinal surgery.脊柱手术后巨大假性脑脊膜膨出的处理。
BMC Musculoskelet Disord. 2010 Mar 21;11:53. doi: 10.1186/1471-2474-11-53.
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Spinal extradural cysts, congenital and acquired; report of cases.脊髓硬膜外囊肿，先天性与后天性；病例报告
J Neurosurg. 1946 Nov;3(6):474-86. doi: 10.3171/jns.1946.3.6.0474.