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Pseudomeningocele Case Study

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TITLE DELAYED ONSET HUGE REFRACTORY MULTILOCULATED CERVICAL PSEDOMENINGOCELE AFTER RETROMASTOID CRANIECTOMY –CASE REPORT AND REVIEW OF LITERATURE ABSTRACT Pseudomeningoceles after posterior fossa surgery pose a technical challenge to operating neurosurgeons. Cervical pseudomeningocele is unique in that herniation of neural tissue into pseudomeningocele sac produces catastrophic complications. Patient usually presents with postural headache. Treatment includes extrinsic compression, csf diversion followed by primary operative dural repair if refractory.In our case report we present a rare complication of delayed onset huge refractory multiloculated cervical psedomeningocele after retromastoid craniectomy which was surgically repaired.Detailed …show more content…

This was reinforced with pericranial onlay patch also.Intraoperative valsalva maneuver showed no csf leak.Wound was closed in layers with prophylactic continous lumbar drainage.Post operative CT scan showed complete resolution of pseudomeningocele(Fig9) Fig9: Post operative CT scan after repair of dural leak and excision of pseudomeningocele sac. Lumbar drain was removed on 3rd day.patient was discharged of day 10 with no evidence of

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