Pseudomeningocele Iatrogenic: A literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40570

Keywords:

Pseudomeningocele; Adult; Laminectomy.

Abstract

Introduction: Iatrogenic pseudomeningocele is a tear of the dural sac resulting in cerebrospinal fluid (CSF) leakage during spinal surgery such as repair for a herniated disc. It is a cyst covered by fibrous tissue and filled with CSF, being symptomatic or asymptomatic. In this sense, this surgical complication with great harm to the patient, such as post-surgical pain symptoms, should be highlighted. Objective: Narrative review of the published literature on the subject, seeking to gather and synthesize knowledge. Method: literature review with searches in the Virtual Health Library/MEDLINE, CINAHL, Web of Science and Scopus CAPES databases, with the Medical Subject Headings (MeSH) descriptors: “pseudomeningocele”, “adult”, “laminectomy”, associated by the Boolean AND operator, from 2005 to 2021. A total of 92 articles were found, 14 of which were duplicates and 5 were triplicates. Of the 49 articles found, 18 were included, with the aim of answering the guiding question based on the reading in full: “What are the clinical manifestations, diagnoses and treatments used to identify, treat and predict prognosis for patients with pseudomeningocele?”. Results and discussion: cases of pseudomeningocele are asymptomatic, small and spontaneously regress. In symptomatic patients, it is manifested by headache, lumbar pain and radiculopathy. These are risk factors: invasive techniques, use of epidural triamcinolone acetonide, laminectomy and advanced age, foraminectomy, lateral approach and fusion were protective factors. Treatment for asymptomatic patients is conservative; symptomatic, surgical revision for dural repair is recommended. Conclusion: Therefore, its understanding is important to reduce the occurrence and make patients aware of their risk during spinal surgeries.

References

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Published

01/03/2023

How to Cite

SILVA, L. R.; PESSOA, C. P. .; TORRES-DA-SILVA, K. R. .; MACHADO, A. M.; MACHADO, A. R. da S. R. .; SILVA, A. V. da. Pseudomeningocele Iatrogenic: A literature review. Research, Society and Development, [S. l.], v. 12, n. 3, p. e11912340570, 2023. DOI: 10.33448/rsd-v12i3.40570. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40570. Acesso em: 19 apr. 2024.

Issue

Vol. 12 No. 3

Section

Health Sciences

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Copyright (c) 2023 Laura Ramires Silva; Caroline Pimentel Pessoa; Kelly Regina Torres-da-Silva; Alex Martins Machado; Aline Rafaela da Silva Rodrigues Machado; André Valério da Silva

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