CC BY-NC-ND 4.0 · IJNS 2017; 06(01): 015-019
DOI: 10.1055/s-0037-1598093
Original Article
Thieme Medical and Scientific Publishers Private Ltd.

Symptomatic Multiple Level Lateral Meningoceles with Intraspinal Meningocele: A Case Study and Its Surgical Management

Vernon Velho
1  Department of Neurosurgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
,
Sachin Guthe
1  Department of Neurosurgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
,
Pravin Survashe
1  Department of Neurosurgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
,
Poonam Darade
2  Department of Radiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
› Author Affiliations
Further Information

Publication History

07 September 2016

18 October 2016

Publication Date:
10 February 2017 (online)

  

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.