Open AccessA lateral meningocele in a 48 years lady revealed by a CSF fistula
Author(s) -
Ibrahim Aliyu,
Nadhim Benmedakhene,
Ousseini Adakal,
S. Bachir,
Nadia Ben Lagha,
Sidi Said Abderahmanne,
Abdelhalim Morsli
Publication year - 2020
Publication title -
romanian neurosurgery
Language(s) - English
Resource type - Journals
eISSN - 2344-4959
pISSN - 1220-8841
DOI - 10.33962/roneuro-2019-081
Subject(s) - medicine , presentation (obstetrics) , surgery , fistula , lipoma , spinal dysraphism , neurosurgery , tethered cord , spina bifida , magnetic resonance imaging , radiology
Background: Lateral meningocele is defined by the presence of protrusions of the arachnoid and the dura matter extending laterally through inter- or intravertebral foramina. It is an extremely rare condition; to the best of our knowledge, only a few cases are reported in the literature and most of them in childhood.
Case presentation: Authors reported a case of a 48 years old lady who consulted for a lombo-sacral mass right-sided with a CSF fistula. The Spinal MRI objectified a meningocele lateralized in the right side associated with multiples malformations. The patient underwent surgery and the meningocele was closed after excision of the associated subcutaneous lipoma. The long term outcome was favourable and the follow up was assured by clinical examination monthly in the first year.
Conclusion: Lateral meningocele is very rarely reported, it is usually associated with multiples malformations. Surgical treatment is a good option for treatment for avoiding complications. The prognostic depends on the preoperative status and the associated malformations.