Kim Koh-Woon, Cho Jae-Heung
Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyung Hee University, Seoul 02447, South Korea.
World J Clin Cases. 2021 Nov 6;9(31):9686-9690. doi: 10.12998/wjcc.v9.i31.9686.
Only a few cases of giant pseudomeningoceles have been reported in the literature. Herein, we report a giant pseudomeningocele of the cervical spine that was found after cervical laminectomy for an epidural hematoma following epidural blockade.
A 47-year-old man presented with recurrent neck pain and posterior neck swelling after spinal surgery. Magnetic resonance imaging of the cervical spine revealed fluid collection (5.6 cm × 6.6 cm × 11.2 cm) at the C3-6 level; this proved to be a pseudomeningocele. Symptoms related to the pseudomeningocele resolved following dural repair and fat graft transplantation.
Although rare, pseudomeningocele is a possibility in patients with recurrent back pain, radicular pain, or a persistent headache following spinal surgery. Continuous attention should be paid throughout the spinal procedure, whether conservative or non-conservative.
文献中仅报道了少数几例巨大假性脑脊膜膨出病例。在此，我们报告1例颈椎巨大假性脑脊膜膨出，该病例是在硬膜外阻滞术后因硬膜外血肿行颈椎椎板切除术后发现的。
一名47岁男性在脊柱手术后出现反复颈部疼痛和颈后部肿胀。颈椎磁共振成像显示C3 - 6水平有液性聚集（5.6 cm×6.6 cm×11.2 cm）；经证实为假性脑脊膜膨出。硬脊膜修补和脂肪移植术后，与假性脑脊膜膨出相关的症状得到缓解。
尽管罕见，但脊柱手术后出现反复背痛、神经根性疼痛或持续性头痛的患者仍有可能发生假性脑脊膜膨出。无论是保守治疗还是非保守治疗，在整个脊柱手术过程中都应持续关注。
