Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
Retroperitoneal Approach for Lumbar Lateral Meningocele
—Case Report—
Masaru MIYATAShun YAMASAKITakao YOSHIDAMasahide MATSUBARAMasao OKAMURAAkihiko HIRAYAMANorihiko TAMAKI
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1995 年 35 巻 12 号 p. 905-908

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A 29-year-old female with neurofibromatosis presented with a right lumbar lateral meningocele. Abdominal computed tomography (CT) showed a huge right retroperitoneal cyst expanding anterolaterally and displacing the right kidney. CT following myelography disclosed the cyst expanding through a wide defect of the right pedicles of the T-12 and L-1 vertebrae. The cyst was resected through a retroperitoneal approach with right flank oblique incision. Postoperatively, cerebrospinal fluid leakage occurred, which improved after lumboperitoneal shunt. Careful screening for lateral meningocele, including the lumbar region, should be undertaken in a patient with neurofibromatosis who presents with vertebral anomalies.
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© The Japan Neurosurgical Society
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