| Abstract | OBJECTIVE 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. |
| Authors | Byung-Chan Jeon, Do-Heon Kim, Ki-Young Kwon
(Affiliation: Division of Minimally Invasive Neurosurgery, Kosin University Gospel Hospital, Busan, Korea. jbcstar at kosinmed.or.kr)
|
| Journal | Neurosurgery
(Neurosurgery)
Vol. 52
Issue 5
Pg. 1231-3; discussion 1233-4
(May 2003)
ISSN: 0148-396X United States |
| PMID | 12699572
(Publication Type: Case Reports, Journal Article)
|
| Topics |
- Adult
- Endoscopy
- Female
- Humans
- Lumbosacral Plexus
(pathology, radiography, surgery)
- Magnetic Resonance Imaging
- Meningocele
(pathology, radiography, surgery)
- Severity of Illness Index
- Tomography, X-Ray Computed
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