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Case report
Acute neurological deficit caused by thoracic pseudomeningocele after spinal surgery
  1. Choong Hoon Foo1,
  2. Beatrix Yung Siang Hii2,
  3. Chung Chek Wong2 and
  4. Khin Maung Ohn3
  1. 1Orthopaedic Department, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  2. 2Orthopaedic and Traumatology Department, Hospital Umum Sarawak, Kuching, Sarawak, Malaysia
  3. 3Department of Surgery, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Professor Khin Maung Ohn; drkmgohn{at}ums.edu.my

Abstract

Postoperative pseudomeningocele usually has a benign course. We report a rare presentation of postoperative acute neurological deficit caused by compressive thoracic pseudomeningocele. This patient had posterior spinal fusion and decompression surgery for thoracic ossification of posterior longitudinal ligament and ligamentum flavum. Intraoperative incidental durotomy was covered with hydrogel dural sealant. She developed acute neurological deterioration 1 week after index surgery. Emergency decompression surgery was performed. One year after the surgery, she showed good neurological recovery.

  • neurology
  • neurological injury

https://doi.org/10.1136/bcr-2021-243788

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    Footnotes

    • Contributors CHF involved in the management of the patient and obtained consent. He wrote the initial draft of the article. CCW and BYSH performed the literature search and wrote the final draft of the article and case description. KMO has provided the appropriate guidance to write and publish the article. CHF and CCW revised the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.