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European Spine Journal

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01-05-2013 | Case Report

Calcified pseudomeningocele of the lumbar spine: a review

Authors: Sverre F. Narverud, Norlisah B. M. Ramli, Hari Chandran, Dharmendra Ganesan

Published in: European Spine Journal | Special Issue 3/2013

Abstract

Purpose

In this article, we review the English literature of calcified pseudomeningoceles in the lumbar region.

Methods

A systematic review using the Medline Database using the varied nomenclature for pseudomeningoceles, as well as reviewing the reference lists of relevant article found.

Results

We discuss the different pathological theories on formation of a pseudomeningocele, the formation of a calcified wall and the optimal management for this entity. To date, 17 cases have been described, of which 13 are reviewed here. Calcification of pseudomeningocele is a rare entity and in the lumbar spine this occurs postsurgically. The only predisposing factor is prior surgery to the lumbar spine. Computer tomography, magnetic resonance imaging (MRI) and MRI myelography in combination are the preoperative investigations of choice. The radiological work-up can be preoperatively diagnostic and is important in the surgical planning.

Conclusions

The treatment is surgicel removal and the decision to treat is based on patient symptoms and correlating these with imaging. There is an average reported follow-up of 1.7 years postoperatively for these patients and the reported outcome after surgery is good.

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Title: Calcified pseudomeningocele of the lumbar spine: a review
Authors: Sverre F. Narverud
Norlisah B. M. Ramli
Hari Chandran
Dharmendra Ganesan
Publication date: 01-05-2013
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue Special Issue 3/2013
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2610-7

At a glance: The STEP trials

Springer Medicine

Calcified pseudomeningocele of the lumbar spine: a review

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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