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Anterior endoscopic treatment of a huge anterior sacral meningocele: technical case report.

AbstractOBJECTIVE AND IMPORTANCE:
Anterior endoscopic treatment of a huge anterior sacral meningocele, a rare example of spinal dysraphism, is described.
CLINICAL PRESENTATION:
A 43-year-old woman presented with severe headache and fever, increasing abdominal pain, and a several-year history of right lower-extremity radicular pain. She exhibited meningeal irritation signs and Currarino's triad. Lumbosacral myelograms and magnetic resonance imaging scans revealed a huge anterior sacral cyst connected with the spinal subarachnoid space.
INTERVENTION:
A straight rigid endoscope was introduced into the meningocele through a small abdominal incision. The fistula between the meningocele and the spinal subarachnoid space was obliterated with multiple fat grafts harvested from the abdomen.
CONCLUSION:
An anterior endoscopic procedure is an alternative for the treatment of a huge anterior sacral meningocele.
AuthorsByung-Chan Jeon, Do-Heon Kim, Ki-Young Kwon
JournalNeurosurgery (Neurosurgery) Vol. 52 Issue 5 Pg. 1231-3; discussion 1233-4 (May 2003) ISSN: 0148-396X [Print] United States
PMID12699572 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Endoscopy
  • Female
  • Humans
  • Lumbosacral Plexus (diagnostic imaging, pathology, surgery)
  • Magnetic Resonance Imaging
  • Meningocele (diagnostic imaging, pathology, surgery)
  • Severity of Illness Index
  • Tomography, X-Ray Computed

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