Abstract
Lateral meningocele is rare disorder of unknown etiology that represents herniation
of leptomeninges through enlarged neural foramina. Most patients are asymptomatic
and do not need treatment. A symptomatic case with neurologic deficit requires well-planned
surgical approach. We report a case of 9-year-old boy who presented with mid backache
and progressive asymmetric paraparesis with urinary incontinence. The patient did
not appear to have any neurologic disorder. Magnetic resonance imaging (MRI) of spine
revealed bilateral multiple thoracic and lumbar paraspinal cerebrospinal fluid (CSF)
intensity cystic lesions projecting from the neural foramen and extending laterally
suggesting multiple bilateral meningoceles. He was surgically treated, meningocele
repair was done, and thecoperitoneal shunt was inserted. Postoperatively he improved
symptomatically. Bilateral multiple lateral meningoceles are very rare entity and
those who are surgically treated are few. We emphasize our innovative surgical approach
to this case.
Keywords
lateral meningocele - multiple meningoceles - intraspinal meningocele
