Thoracic Meningocele and Cervical Syringomyelia Treated with Ventriculoperitoneal Shunt

Liesl N Close; Brian Park; Royce W Woodroffe; Patrick W Hitchon

doi:10.1016/j.wneu.2019.05.204

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Thoracic Meningocele and Cervical Syringomyelia Treated with Ventriculoperitoneal Shunt

Journal article

Peer reviewed

Thoracic Meningocele and Cervical Syringomyelia Treated with Ventriculoperitoneal Shunt

Liesl N Close, Brian Park, Royce W Woodroffe and Patrick W Hitchon

World neurosurgery, Vol.129, pp.322-326

09/2019

DOI: 10.1016/j.wneu.2019.05.204

PMID: 31152885

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Abstract

Spinal meningocele is the herniation of dura mater and cerebrospinal fluid through a spinal defect, be it congenital, iatrogenic, or traumatic. Intrathoracic meningoceles are rare and are most commonly associated with neurofibromatosis. When indicated, surgical management of symptomatic thoracic meningocele is aimed at decreasing the size of the meningocele, which can be accomplished by a variety of procedures. A 59-year-old woman with neurofibromatosis type 1 and a known thoracic meningocele was initially managed conservatively. However, she developed syringomyelia and subsequently became symptomatic from the syrinx. She was ultimately treated successfully with ventriculoperitoneal shunt. Shunting resulted in complete resolution of the syrinx, while the thoracic meningocele remained stable in size. Ventriculoperitoneal shunt can be used to successfully treat a symptomatic syrinx in a patient with an asymptomatic thoracic meningocele. Alterations in normal cerebrospinal fluid flow dynamics from the thoracic meningocele likely contributed to the development of syringomyelia in this patient.

Meningocele - surgery

Ventriculoperitoneal Shunt

Cervical Vertebrae

Thoracic Vertebrae

Syringomyelia - etiology

Humans

Middle Aged

Neurofibromatosis 1 - complications

Female

Meningocele - complications

Syringomyelia - surgery

Details

Title: Subtitle: Thoracic Meningocele and Cervical Syringomyelia Treated with Ventriculoperitoneal Shunt
Creators: Liesl N Close - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Brian Park - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Royce W Woodroffe - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Patrick W Hitchon - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA. Electronic address: patrick-hitchon@uiowa.edu
Resource Type: Journal article
Publication Details: World neurosurgery, Vol.129, pp.322-326
Publisher: United States
DOI: 10.1016/j.wneu.2019.05.204
PMID: 31152885
ISSN: 1878-8750
eISSN: 1878-8769
Language: English
Date published: 09/2019
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Neurosurgery
Record Identifier: 9984040272202771

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