Pseudomeningocele with Nerve Root Incarceration after Lumbar Spine Surgery: A Case Report and Review of Literature

10.6966/EDMJ.202409_11(3).0004

William Winardi；Kang Lu

pseudomeningocele ； nerve root incarceration ； incidental durotomy ； low-pressure headaches ； lumbar spine surgery

E-Da Medical Journal

11卷3期（2024 / 09 / 01）

25 - 31

英文

A 44-year-old female patient suffered from low-pressure headaches 18 days after lumbar spine surgery for a herniated lumbar intervertebral disc. A loss of sphincter control was also observed. On physical examination, a fluctuating swollen wound was observed, where clear fluid was aspirated. A neurological examination revealed perineal pain and numbness. Pseudomeningocele with nerve root incarceration was suspected. Open laminectomy was performed to examine the previous surgical site. After identification and extirpation of the pseudomeningocele, the incarcerated nerve roots were replaced by the dural defect. Direct dural repair was performed using a microsurgical technique. The patient was discharged with headache resolution and improved perineal pain and numbness at the outpatient clinic follow-up.