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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(02): 372-375
DOI: 10.4103/ajns.AJNS_18_21
Case Report

Spontaneous resolution of postoperative giant frontal pseudomeningocele

Duc Tran   *
1   Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue
2   Department of Neurosurgery, Xuyen A Hospital, Ho Chi Minh City
,
Thi Dinh   *
1   Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue
,
Quoc Nguyen
1   Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue
,
Dang Mai
1   Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue
,
Van Truong
1   Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue
3   Vietnam; Division of Orthopedics, Central Hospital of University of Montreal, University of Montreal, Montreal, Canada
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Cranial pseudomeningoceles are abnormal extradural collections of cerebrospinal fluid. Postoperative giant cranial pseudomeningoceles have been rarely reported in the literature and have no specific treatment guidelines. The optimal management strategy for this condition differs among authors, varying from conservative approach to surgical intervention. A spontaneous resolution of postoperative giant frontal pseudomeningocele is reported. A 41-year-old female presented a pseudomeningocele 3 weeks after a right frontal meningioma surgical resection. The pseudomeningocele progressed during the first 1.5-month postoperatively despite percutaneous aspiration and compressive bandage, it then shrank spontaneously and was completely resolved at the 15th month since the surgery. Nonoperative treatment with a close follow-up could be a good option for asymptomatic giant pseudomeningoceles, resulting in a spontaneous resolution.

Key-words:

Conservative treatment - craniotomy - giant - pseudomeningocele - resolution

Financial support and sponsorship

Nil.


* Authors equally contributed the work




Publication History

Received: 15 January 2021

Accepted: 01 March 2021

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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